in Dallas - Clinical

- NPI 1225248578

is a Clinical in Dallas, Texas. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1225248578. The last update date is .

's current location address is 7118 Fairdale Ave, Dallas, Texas. You can contact this provider via phone number 2142071193. The mailing address for is 7118 Fairdale Ave, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 7118 Fairdale Ave, Dallas, Texas
Phone Number 2142071193
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1225248578
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 7118 Fairdale Ave
City Dallas
State Texas (TX)
Post Code 752275754
Phone Number 2142071193
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 21818
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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