NPI age
19 years
Enumerated 2006-12-27
Across 3645 active social worker providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 0065DL | BCBS |
| 05 (TX) | 102931601 |
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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