Individual
KATHLEEN MARY DAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
2201 PRIMROSE AVE, FORT WORTH, TX 76111-1420
(817) 996-2287
Mailing address
2201 PRIMROSE AVE, FORT WORTH, TX 76111-1420
(817) 996-2287
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1036061
TX
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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