Individual
HEATHER MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4200 SOUTH FWY, #424, FORT WORTH, TX 76115-1400
(817) 920-9321
(817) 920-9336
Mailing address
4200 SOUTH FWY, #424, FORT WORTH, TX 76115-1400
(817) 920-9321
(817) 920-9336
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28844
TX
Other
Enumeration date
11/02/2008
Last updated
11/02/2008
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