Individual
DESTINY JADE ASHBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17103 PRESTON RD STE 160, DALLAS, TX 75248-1486
(913) 526-1302
Mailing address
5222 BELMONT AVE APT 110, DALLAS, TX 75206-6901
(913) 526-1302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62723
TX
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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