Individual
MRS. CASEY DIANE CALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., M.ED., LPC
Contact information
Practice address
101 S JENNINGS AVE STE 214, FORT WORTH, TX 76104-1112
(469) 360-2666
Mailing address
1401 LIPSCOMB ST, FORT WORTH, TX 76104-4756
(469) 360-2666
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61275
TX
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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