Individual
TRACY ANN LIEBOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 372-8588
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 372-8588
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000008077
TN
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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