Organization
HCJ LEGACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LARUE (AUTHORIZED OFFICIAL)
(218) 508-4578
Entity
Organization
Contact information
Practice address
1516 SOMERSET LN, WEATHERFORD, TX 76087-1296
(218) 508-4578
Mailing address
1516 SOMERSET LN, WEATHERFORD, TX 76087-1296
(218) 508-4578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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