Individual
MRS. ANGELICA DANIEL RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 MERCANTILE PLAZA DR STE 307, FORT WORTH, TX 76137-4230
(817) 232-9400
(817) 232-9403
Mailing address
5408 GRAYSON RIDGE DR, FORT WORTH, TX 76179-7111
(469) 964-5984
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
62179
TX
1041C0700X
Clinical Social Worker
Primary
62179
TX
Other
Enumeration date
07/12/2022
Last updated
04/02/2024
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