Individual
MRS. AVA LEIGH PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8821 DAVIS BLVD STE 400, KELLER, TX 76248-0333
(817) 235-0883
(940) 433-2144
Mailing address
501 TURNER RD APT 713, GRAPEVINE, TX 76051-7253
(817) 235-0883
(940) 433-2144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197501-02
—
TX
Enumeration date
09/12/2007
Last updated
08/10/2022
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