Individual
CHARLES MICHAEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7777 FOREST LN STE C528, DALLAS, TX 75230-6848
(972) 770-1032
Mailing address
7777 FOREST LN STE C528, DALLAS, TX 75230-6848
(214) 470-9989
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
84623
TX
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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