Individual
CHRISTINE RENE MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
505 HOVEY ST, BRIDGEPORT, TX 76426-2923
(940) 255-1676
Mailing address
505 HOVEY ST, BRIDGEPORT, TX 76426-2923
(940) 255-1676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
52194
TX
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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