Individual
CHELSEA RENEE DOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW (M.S.W.)
Contact information
Practice address
4500 MERCANTILE PLAZA DR, STE. 307, FORT WORTH, TX 76137
(817) 232-9400
(817) 232-9403
Mailing address
4500 MERCANTILE PLAZA DR, STE. 307, FORT WORTH, TX 76137
(817) 232-9400
(817) 232-9403
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
68088
TX
1041C0700X
Clinical Social Worker
Primary
ASW34716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13622419
CAQH
—
Enumeration date
09/17/2010
Last updated
09/10/2019
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