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2405 Stonewall St Ste 8 Greenville TX 75401-3349 | |
| (903) 454-3300 | |
| (903) 454-3307 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2405 Stonewall St Ste 8, Greenville, Texas |
| Authorized Official Name and Position | Lillie Gillen Hinkelman (PRESIDENT/OWNER) |
| Authorized Official Contact | 2143648658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2006 Cartier Xing Allen TX 75013-5632 Ph: (214) 364-8658 | 2405 Stonewall St Ste 8 Greenville TX 75401-3349 Ph: (903) 454-3300 |
| NPI Number | 1891851432 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891851432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34104 (Texas) | Primary |
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