Individual
ELIZABETH DIERKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 RIVER RUN STE 200, FORT WORTH, TX 76107-6670
(817) 330-9108
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(817) 330-9108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4446
HI
Other
Enumeration date
09/23/2020
Last updated
12/10/2024
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