Individual
GARY LEN ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
801 W CANNON ST, FORT WORTH, TX 76104-3147
(817) 335-1994
(817) 335-3617
Mailing address
2328 LAKESHORE DR, FLOWER MOUND, TX 75028-4638
(972) 724-1959
(817) 335-3617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29787
TX
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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