Individual
JIM DANIEL DEATON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-2995
(254) 743-0137
Mailing address
31 STILLMEADOW, ROUND ROCK, TX 78664-9607
(512) 244-3165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
03220
TX
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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