Individual
MRS. CAROLYN MCCULLOUHG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8500 N STEMMONS FWY STE 3010I, DALLAS, TX 75247-3927
(214) 432-8296
(214) 203-0803
Mailing address
8500 N STEMMONS FWY STE 3010I, DALLAS, TX 75247-3927
(214) 432-8296
(214) 203-0803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12479
TX
1041C0700X
Clinical Social Worker
12479
TX
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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