Provider Information for 1962665356
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Mr. ELTON DAVID WOOLSEY LPC
Sex: Male
NPI: 1962665356
Last Updated: 2008-07-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1962665356 | ||||||||
| Enumeration Date | 2008-07-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 400 KREBS LN AUSTIN, TX 78704-7075 United States Phone: 512-443-1583 | Fax: | ||||||||
| Primary Practice Address | 3625 MANCHACA RD SUITE 202 AUSTIN, TX 78704-6631 United States Phone: 512-517-8960 | Fax: | ||||||||
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