Individual
CHARITY MIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5701 AIRPORT RD, TEMPLE, TX 76502-7092
(254) 724-2585
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
64230
TX
Other
Enumeration date
04/02/2024
Last updated
04/22/2025
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