Individual
JUSTIN R. CORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4500 S LANCASTER RD, 116A, DALLAS, TX 75216-7167
(214) 857-0895
(214) 857-0902
Mailing address
4500 S LANCASTER RD, 116A, DALLAS, TX 75216-7167
(214) 857-0895
(214) 857-0902
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22642
LMSW LICENSE NUMBER
TX
Enumeration date
06/01/2006
Last updated
09/07/2016
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