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Individual

LUCY SOPHIA WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1090 SCHOOLHOUSE RD, HASLET, TX 76052-3706
(682) 990-5932
Mailing address
7717 CASTILLO RD, FORT WORTH, TX 76112-6124
(720) 982-8378

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108077
TX

Other

Enumeration date
11/07/2022
Last updated
11/07/2022
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