Individual
SAMUEL AUSTIN SPILLYARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1771 INTERNATIONAL PKWY STE 107, RICHARDSON, TX 75081-1865
(972) 696-9359
Mailing address
2817 OAK FOREST DR, GRAPEVINE, TX 76051-6018
(817) 789-0444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108949
TX
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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