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Organization

CASE MANAGEMENT SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE FAYE DAVIS LBSW (CASE MANAGER)
(512) 560-5896
Entity
Organization

Contact information

Practice address
403 SKYLINE RD, GEORGETOWN, TX 78628-3826
(512) 560-5896
Mailing address
403 SKYLINE RD, GEORGETOWN, TX 78628-3826
(512) 560-5896

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194883132
TX
05
1992903033
TX
Enumeration date
01/10/2014
Last updated
02/07/2014
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