Individual
TIERRA N BRIGHTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6714 OLD STONE DR, FORT WORTH, TX 76137-2389
(330) 819-1731
Mailing address
6714 OLD STONE DR, FORT WORTH, TX 76137-2389
(330) 819-1731
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
06/06/2022
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