Individual
MRS. CATHLEEN ANN CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4701 ALTAMESA BLVD, FORT WORTH, TX 76133-6112
(512) 293-3855
(512) 293-3855
Mailing address
PO BOX 1626, ROUND ROCK, TX 78680-1626
(512) 293-3855
(512) 293-3855
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S27V
BCBS PROVIDER NUMBER
TX
05
—
108166302
—
TX
Enumeration date
08/08/2006
Last updated
12/05/2016
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