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Individual

ATHENA DETREMPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
200 MARTIN LUTHER KING BLVD, WICHITA FALLS, TX 76301-1152
(940) 766-6306
(940) 761-1698
Mailing address
PO BOX 720, WICHITA FALLS, TX 76307-0720
(940) 766-6306
(940) 761-1698

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60004
TX
1041C0700X
Clinical Social Worker
LCSW - 31620
ID

Other

Enumeration date
10/22/2008
Last updated
04/05/2015
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