Individual
GWENDOLYNNE NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
697 LOUISIANA RD, DYESS AFB, TX 79607-1141
(325) 696-4262
(325) 696-4262
Mailing address
697 LOUISIANA RD, DYESS AFB, TX 79607-1141
(303) 550-9491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
115475
TX
1041C0700X
Clinical Social Worker
Primary
C017925
NC
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
07/28/2026
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