Individual
DANIEL HEATHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
10800 FONDREN RD, APT 2822, HOUSTON, TX 77096-5440
(503) 269-8185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
59233
TX
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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