Individual
TODAE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2932 GLADIOLUS LANE, DALLAS, TX 75233
(972) 408-7423
Mailing address
PO BOX 3072, DESOTO, TX 75123-3072
(972) 408-7423
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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