Organization
A DIVINE CONNECTION CHILD PLACING AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEZAREE LUSK LCSW (OWNER)
(469) 499-6200
Entity
Organization
Contact information
Practice address
905 MACAW WAY, DESOTO, TX 75115-7210
(469) 499-6200
Mailing address
905 MACAW WAY, DESOTO, TX 75115-7210
(469) 499-6200
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NONE
—
Enumeration date
12/28/2021
Last updated
12/28/2021
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