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Individual

MRS. REGINA DESHAE KAISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, CDP

Contact information

Practice address
4925 GREENVILLE AVE STE 1050, DALLAS, TX 75206-4084
(214) 918-1999
Mailing address
3913 SABINE AVE, TEXARKANA, TX 75503-2840
(903) 224-5816
(903) 307-5401

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
TX
171M00000X
Case Manager/Care Coordinator
65200
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346525524
TX
05
1598395352
TX
Enumeration date
11/15/2019
Last updated
10/20/2025
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