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Organization

CANVAS CLINIC MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ASHLEY STAFFORD LCSW-S (FOUNDER/DIRECTOR)
(214) 674-0798
Entity
Organization

Contact information

Practice address
1550 NORWOOD DR STE 313, HURST, TX 76054-3653
(817) 394-2346
(817) 986-0540
Mailing address
5473 BLAIR RD STE 100, DALLAS, TX 75231-4227
(817) 394-2346
(817) 986-0540

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
11/06/2023
Last updated
11/06/2023
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