Individual
DONALD DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5402 ARAPAHO RD, DALLAS, TX 75248-6905
(972) 437-9950
Mailing address
5402 ARAPAHO RD, DALLAS, TX 75248-6905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S17112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S17112
LICENSE NUMBER
TX
Enumeration date
12/04/2006
Last updated
07/08/2007
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