Individual
ELIZABETH IRENE MEDEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 335-3022
Mailing address
PO BOX 2603, FORT WORTH, TX 76113-2603
(817) 569-4300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
107498
TX
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
07/02/2025
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