Gordon Lance Munn is a Clinical in Garland, Texas. Gordon Lance Munn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gordon Lance Munn is 1417957192. The last update date is 2014-06-24.
Gordon Lance Munn's current location address is 675 Town Square Blvd., Garland, Texas. You can contact this provider via phone number 2148049262 and fax number 9724951863. The mailing address for Gordon Lance Munn is 675 Town Square Blvd., Garland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Lance Munn |
|---|---|
| Address | 675 Town Square Blvd., Garland, Texas |
| Phone Number | 2148049262 |
| Fax Number | 9724951863 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417957192 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2014-06-24 |
Provider Mailing Address Detail
| Address | 675 Town Square Blvd. |
|---|---|
| City | Garland |
| State | Texas (TX) |
| Post Code | 75040 |
| Phone Number | 2148049262 |
| Fax Number | 9724951863 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 22687 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64284501 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gordon Lance Munn by the Centers for Medicare & Medicaid Services?
The Gordon Lance Munn has been assigned the NPI (National Provider Identifier) 1417957192 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gordon Lance Munn?
The Gordon Lance Munn is physically situated at 675 Town Square Blvd., in the city of Garland, state of TX, with the postal code 75040.
What is the Gordon Lance Munn's specialty and taxonomy code?
The Gordon Lance Munn's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Gordon Lance Munn receive its 1417957192 assignment?
The Gordon Lance Munn was assigned its 1417957192 on 2005-07-26, which is the date when this unique identifier was issued to the organization.
As of what date were the Gordon Lance Munn's details last updated?
The information pertaining to the Gordon Lance Munn, including its address, specialty, and other details, was most recently updated on 2014-06-24.
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