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801 E Campbell Rd Ste 510 Richardson TX 75081-1890 | |
| (214) 544-2476 | |
| (972) 744-9995 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 801 E Campbell Rd, Richardson, Texas |
| Authorized Official Name and Position | Janice M Bryan (PRESIDENT) |
| Authorized Official Contact | 2145442476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1705 Knoll Ct Allen TX 75002-2605 Ph: (214) 544-2476 | 801 E Campbell Rd Ste 510 Richardson TX 75081-1890 Ph: (214) 544-2476 |
| NPI Number | 1164737649 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164737649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20450 (Texas) | Primary |
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