Individual
MISS DEBORAH GAIL CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-3210
Mailing address
1611 LYNNHAVEN RD, FORT WORTH, TX 76103-1809
(817) 692-3730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22989
TX
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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