Individual
DORIAN CHARLES LEBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LISW
Contact information
Practice address
4500 S LANCASTER RD BLDG 69, DALLAS, TX 75216-7167
(214) 857-1254
(214) 462-4944
Mailing address
620 W WESTCHESTER PKWY APT 9203, GRAND PRAIRIE, TX 75052-3275
(419) 280-8058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54011
TX
1041C0700X
Clinical Social Worker
8755
LA
1041C0700X
Clinical Social Worker
I 0900125
OH
Other
Enumeration date
03/30/2007
Last updated
06/30/2010
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