Organization
AZ SOCIAL SERVICE
Active
Other names
Az Social Service
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR NWAOKOLO LMSW/IPR (ADMINISTRATOR)
(979) 494-5515
Entity
Organization
Contact information
Practice address
2205 EDINBURGH WAY, GARLAND, TX 75040-1139
(972) 494-5515
(214) 227-5448
Mailing address
2205 EDINBURGH WAY, GARLAND, TX 75040-1139
(972) 494-5515
(214) 227-5448
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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