Individual
MRS. MIRKA NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W SANDY LAKE RD, SUITE 102, BOX 101, COPPELL, TX 75019-2015
(214) 671-8530
Mailing address
110 W SANDY LAKE RD, SUITE 102, BOX 101, COPPELL, TX 75019-2015
(214) 671-8530
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
63652
TX
1041S0200X
School Social Worker
—
—
Other
Enumeration date
12/08/2014
Last updated
02/01/2017
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