Individual
MR. AUSTIN DOUGLAS SOLOMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
82 MEDICAL GROUP, 149 HART STREET, SHEPPARD AFB, TX 76311
(940) 676-3895
Mailing address
2621 FAIRWAY DR, WICHITA FALLS, TX 76301-6111
(580) 504-1179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
52973
TX
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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