Individual
BRADLEY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5201 MERCED DR, FORT WORTH, TX 76137-5706
(682) 261-8505
Mailing address
5201 MERCED DR, FORT WORTH, TX 76137-5706
(682) 261-8505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60885
TX
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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