Individual
MS. SHOSHANA NIKOL CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-IPR
Contact information
Practice address
1029 JOHNSON CITY AVE, FORNEY, TX 75126-5077
(214) 207-9117
Mailing address
1029 JOHNSON CITY AVE, FORNEY, TX 75126-5077
(214) 207-9117
(972) 552-5232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
38558
TX
171W00000X
Contractor
—
—
305S00000X
Point of Service
Primary
—
TX
Other
Enumeration date
02/09/2011
Last updated
11/27/2023
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