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Organization
JEANNIE DAW, PLLC
Active
Organization
JEANNIE DAW, PLLC
Active
Other names
Saul Martinez
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE DAW (OWNER)
(817) 841-9406
Entity
Organization
Contact information
Practice address
6040 CAMP BOWIE BLVD STE 56, FORT WORTH, TX 76116-5601
(817) 841-9406
Mailing address
6040 CAMP BOWIE BLVD STE 56, FORT WORTH, TX 76116-5601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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