NPI age
19 years
Enumerated 2007-01-12
Across 12911 active social worker providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 2502590 | CIGNA-EVERNORTH |
| 01 (FL) | 277216 | MHN |
| 01 (FL) | Z074E | BCBS OUT OF NETWORK PROV |
| 01 (FL) | 061642215 | INIDIVDUAL TAX ID |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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