Individual
ELIZABETH ANGELINA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1424 SUMMIT AVE, FORT WORTH, TX 76102-5912
(817) 335-4041
(817) 335-4043
Mailing address
3214 GREENE AVE, FORT WORTH, TX 76109-2320
(817) 714-0939
(817) 335-4043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29768
TX
Other
Enumeration date
02/05/2007
Last updated
07/09/2007
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