Individual
DAVID ESPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4330 SE STALLINGS DR, NACOGDOCHES, TX 75961-7034
(936) 552-0519
Mailing address
4330 SE STALLINGS DR, NACOGDOCHES, TX 75961-7034
(936) 552-0519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
52098
TX
1041C0700X
Clinical Social Worker
Primary
52098
TX
1041S0200X
School Social Worker
52098
TX
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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