Individual
EMILY CAROL MODLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7261 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(682) 399-8255
Mailing address
7950 CRYSTAL CREEK CIR, FORT WORTH, TX 76137-5624
(817) 899-7310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113438
TX
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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