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Organization
JOHN T CONBOY INC
Active
Organization
JOHN T CONBOY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T. CONBOY LCSW (PRESIDENT)
(512) 944-9153
Entity
Organization
Contact information
Practice address
228 LANIER RANCH RD, DRIFTWOOD, TX 78619-9772
(512) 944-9153
Mailing address
PO BOX 841664, DALLAS, TX 75284-1664
(512) 944-9153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
41316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054NF
BCBS GROUP #
TX
05
—
181429502
—
TX
Enumeration date
05/22/2007
Last updated
04/20/2008
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