Organization
IRMA MIRELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRMA MIRELES LCSW (THERAPIST)
(817) 455-3944
Entity
Organization
Contact information
Practice address
9624 MARINER CIR, APT 1206, FORT WORTH, TX 76179-3210
(817) 455-3944
Mailing address
9624 MARINER CIR, APT 1206, FORT WORTH, TX 76179-3210
(817) 455-3944
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
51649
TX
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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