Individual
RESIA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
912 BIRKSHIRE DR, LEWISVILLE, TX 75077-2944
(972) 420-0208
Mailing address
912 BIRKSHIRE DR, LEWISVILLE, TX 75077-2944
(972) 420-0208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
36477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158219902
—
TX
Enumeration date
09/11/2008
Last updated
09/11/2008
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