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Individual

DIVYA KARIVALATHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(903) 751-5365
Mailing address
2702 AMBERTON PL, EULESS, TX 76040-6377
(469) 954-2188

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14007424-3501
UT
1041C0700X
Clinical Social Worker
5795C
AL
1041C0700X
Clinical Social Worker
Primary
67940
TX

Other

Enumeration date
05/28/2024
Last updated
07/05/2024
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