Individual
FAY HOWELL LIDJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5600 W LOVERS LN, 317, DALLAS, TX 75209-4330
(214) 358-8918
(330) 653-3507
Mailing address
5600 W LOVERS LN, 317, DALLAS, TX 75209-4330
(214) 358-8918
(330) 653-3507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31223
TX
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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