NPI age
20 years
Enumerated 2005-07-22
Across 12911 active social worker providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00461 | TX LICENSE |
| 01 (TX) | 0067MR | BLUE CROSS |
| 01 (TX) | 4103145 | AETNA |
Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.
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