Organization
FAMILY MEDICAL SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA KAYE HARLEY LBSW IPR (EXECUTIVE DIRECTOR)
(940) 224-4783
Entity
Organization
Contact information
Practice address
508 FOXHALL, JACKSBORO, TX 76458-2513
(940) 224-4783
(940) 567-2190
Mailing address
508 FOXHALL, JACKSBORO, TX 76458-2513
(940) 224-4783
(940) 567-2190
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
24089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24562187443
—
TX
Enumeration date
02/08/2010
Last updated
10/21/2022
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