Individual
CAROL A VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2121 SAGE RD STE 180, HOUSTON, TX 77056-4326
(713) 622-7591
(713) 622-7599
Mailing address
2121 SAGE RD STE 180, HOUSTON, TX 77056-4326
(713) 622-7591
(713) 622-7599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S00995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
760074710
EMPLOYER ID#
TX
Enumeration date
02/22/2007
Last updated
07/12/2010
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