Individual
AIDAN CORMAC VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4009 BANISTER LN STE 200, AUSTIN, TX 78704-7056
(512) 712-2662
Mailing address
4009 BANISTER LN STE 200, AUSTIN, TX 78704-7056
(512) 712-2662
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108362
TX
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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