Individual
HEATHER MARIE STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, ACM
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10148
TX
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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