Individual
THERESA ROSE DURKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4910 E 7TH ST APT 231, AUSTIN, TX 78702-5040
(270) 585-0792
Mailing address
4910 E 7TH ST APT 231, AUSTIN, TX 78702-5040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108890
LMSW
TX
Enumeration date
10/17/2022
Last updated
10/17/2022
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