Most Relevant Information
Provider Data
| NPI Number: | 1003033804 |
| Provider Name: | JENNIFER RAE WILHELM L.C.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 51344 |
Most Important Dates
| Enumeration Date: | 04/20/2007 |
| Last Updated: | 04/29/2013 |
Provider Practice Location
6100 BULL CREEK RD
AUSTIN
TX
787573106
Practice Location Phone/Fax
| Phone: | 6462842210 |
| Fax: |
Provider Mailing Location
6100 BULL CREEK RD
AUSTIN
TX
787573106
Provider Mailing Phone/Fax
| Phone: | 6462842210 |
| Fax: |