Individual
JOSSELYN KELLIE BAZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
211 COMMERCE BLVD, ROUND ROCK, TX 78664-2184
(512) 248-7608
Mailing address
211 COMMERCE BLVD, ROUND ROCK, TX 78664-2184
(512) 248-7608
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
58040
TX
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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