Individual
SHAMALE LATRICE DANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-S
Contact information
Practice address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(542) 553-8714
Mailing address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 553-8144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
59433
TX
Other
Enumeration date
04/23/2021
Last updated
12/18/2025
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