Individual
MRS. SHANNA BETH RUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW, MSW
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-4236
(214) 857-0361
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-4236
(214) 857-0361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
50114
TX
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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