Individual
EMILY RACHELLE TIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2800 LYLE AVE, WACO, TX 76708-2680
(254) 297-7100
Mailing address
PO BOX 890, WACO, TX 76703-0890
(254) 752-3451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
69435
TX
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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