Individual
NIKIA MOUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
850 BRIAN DR, GRAND PRAIRIE, TX 75052-6537
(469) 744-6798
Mailing address
850 BRIAN DR, GRAND PRAIRIE, TX 75052-6537
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
54476
TX
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
02/19/2015
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