NPI age
12 years
Enumerated 2014-01-27
Across 12911 active social worker providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 39045 | LICENSED CLINICAL SOCIAL WORKER |
| 01 (MI) | 6801057614 | CLINICAL AND MACRO LICENSE |
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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