Individual
MRS. ELIZABETH NICKELSON REESE HAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14133 MEMORIAL DR STE 7, HOUSTON, TX 77079-6800
(832) 230-1167
Mailing address
8635 SAN FERNANDO WAY, DALLAS, TX 75218-4030
(214) 827-0813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
35945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170304301
—
TX
Enumeration date
10/09/2007
Last updated
09/05/2022
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