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NPI Code Detail

MEDICARE: JULIET BARKSDALE LCSW

MEDICARE: JULIET BARKSDALE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker54428TX

General Provider Information

NPI Number : 1558700153
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIET BARKSDALE LCSW
Provider Business Mailing Address
First Line : 1430 COLLIER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-2911
Country : US
Telephone Number : 512-472-4357
Fax Number : 512-703-1394
Provider Business Practice Location Address
First Line : 6222 N LAMAR BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78752-4004
Country : US
Telephone Number : 512-206-4062
Fax Number : 512-380-9758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2013
Last Update Date : 06/18/2013

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Directions to “ JULIET BARKSDALE LCSW” Practice Location

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