Individual
HEATHER RENEE YEUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 MATISSE DR APT 2055, FORT WORTH, TX 76107-2490
(214) 335-5922
Mailing address
900 MATISSE DR APT 2055, FORT WORTH, TX 76107-2490
(214) 335-5922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54694
TX
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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