Individual
EZEKIEL COLEMAN MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4549
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4549
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69220
TX
1041C0700X
Clinical Social Worker
69220
TX
Other
Enumeration date
08/13/2021
Last updated
09/14/2021
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