Ingrid L Shadow, LCSW | |
3540 Manderly Pl, Fort Worth, TX 76109-4520 | |
(817) 739-8170 | |
Not Available |
Full Name | Ingrid L Shadow |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3540 Manderly Pl, Fort Worth, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063272292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 35298 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ingrid L Shadow, LCSW 3540 Manderly Pl, Fort Worth, TX 76109-4520 Ph: (817) 739-8170 | Ingrid L Shadow, LCSW 3540 Manderly Pl, Fort Worth, TX 76109-4520 Ph: (817) 739-8170 |
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Tela Hedberg Thornton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3200 Sanguinet St, Fort Worth, TX 76107 Phone: 817-255-2652 Fax: 817-255-2657 | |
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