Individual
ROSEMARIE LAVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 7TH AVE STE 6100, FORT WORTH, TX 76104-2733
(682) 885-3917
Mailing address
4200 BRIDGEVIEW DR APT 1537, FORT WORTH, TX 76109-5576
(817) 807-7963
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104940
TX
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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