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Organization
SELF CARE CLUB PLLC
Active
Organization
SELF CARE CLUB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CARROLL LCSW (OWNER)
(214) 664-9042
Entity
Organization
Contact information
Practice address
6500 GREENVILLE AVE STE 430, DALLAS, TX 75206-1014
(214) 664-9042
Mailing address
2488 FORT WORTH AVE APT 11213, DALLAS, TX 75211-1852
(682) 999-0997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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