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Individual

DR. GARY ALLEN FASHIMPAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LCSW,LMFT

Contact information

Practice address
4111 CALL FIELD DR, SUITE 400, WICHITA FALLS, TX 76308
(940) 631-1781
Mailing address
2510 BROOK AVE, WICHITA FALLS, TX 76301
(940) 397-4319

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
281
TX
106H00000X
Marriage & Family Therapist
1615
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
064009601
TX
Enumeration date
11/08/2006
Last updated
01/30/2015
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