Individual
JASON MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 335-3022
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
68427
TX
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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