Individual
LINDA J. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
11 LUCAS LN, FORT WORTH, TX 76134-3408
(817) 615-8152
(817) 615-8152
Mailing address
11 LUCAS LN, FORT WORTH, TX 76134-3408
(817) 615-8152
(817) 615-8152
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
000366
TX
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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