Individual
BOB VENCEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9927 BURNHAM DR, DALLAS, TX 75243-2411
(817) 905-3640
Mailing address
9927 BURNHAM DR, DALLAS, TX 75243-2411
(817) 905-3640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25493
TX
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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