Organization
DALLAS VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VASHAWN KIANGA CLEMONS LMSW (SOCIAL WORKER II)
(214) 857-2371
Entity
Organization
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-2371
Mailing address
521 JUDY LN, SEAGOVILLE, TX 75159-1713
(972) 287-9162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31123
TX
Other
Enumeration date
08/10/2006
Last updated
06/18/2008
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