NPI age
20 years
Enumerated 2005-08-09
Across 12911 active social worker providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 7655525 00 | |
| 01 (FL) | SW5040 | QUALIFIED SUPERVISOR |
| 01 (FL) | SW5040 | CLINICAL LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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