Individual
CATARINA JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1207 S WHITE CHAPEL BLVD STE 260, SOUTHLAKE, TX 76092-9344
(817) 532-2645
Mailing address
PO BOX 92312, SOUTHLAKE, TX 76092-0103
(817) 532-2645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111083
TX
1041C0700X
Clinical Social Worker
C012305
NC
Other
Enumeration date
06/14/2016
Last updated
04/18/2024
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