| Wilma Davis - Reconnecting Families | |
|
6310 Humoresque Dr Dallas TX 75241-2614 | |
| (121) 440-4902 | |
| (972) 685-9111 |
| Full Name | Wilma Davis - Reconnecting Families |
|---|---|
| Speciality | Social Worker |
| Location | 6310 Humoresque Dr, Dallas, Texas |
| Authorized Official Name and Position | Wilma Davis (CEO, FOUNDER) |
| Authorized Official Contact | 2144049026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilma Davis - Reconnecting Families 6310 Humoresque Dr Dallas TX 75241-2614 Ph: (121) 440-4902 | Wilma Davis - Reconnecting Families 6310 Humoresque Dr Dallas TX 75241-2614 Ph: (121) 440-4902 |
| NPI Number | 1821605650 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Medicare PECOS PAC ID | 0749600559 |
|---|---|
| Medicare Enrollment ID | O20201016001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821605650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Wilma Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033583430 PECOS PAC ID: 8022319888 Enrollment ID: I20201016001103 |
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