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Individual

MRS. BARBARA M. WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LMFT

Contact information

Practice address
6040 CAMP BOWIE BOULEVARD, #43, FORT WORTH, TX 76116-5601
(817) 926-4462
(817) 246-4177
Mailing address
6040 CAMP BOWIE BOULEVARD, #43, FORT WORTH, TX 76116-5601
(817) 926-4462
(817) 246-4177

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S16319
TX
1041C0700X
Clinical Social Worker
16319
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00S04R
BLUE CROSS & BLUE SHIELD
TX
05
10812275-02
TX
05
1081275-02
TX
01
345717000
MAGELLAN
TX
Enumeration date
07/04/2006
Last updated
02/17/2012
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