Individual
MRS. VERLISA DIXON-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3741 FAIRHAVEN DR, FORT WORTH, TX 76123-1317
(817) 600-5752
Mailing address
3741 FAIRHAVEN DR, FORT WORTH, TX 76123-1317
(817) 600-5752
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
TX
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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