Individual
DACIA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1406 SE 12TH ST, MINERAL WELLS, TX 76067-6649
(201) 208-2616
Mailing address
3801 N CAPITAL OF TEXAS HWY STE E240, AUSTIN, TX 78746-1482
(201) 208-2616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
57792
TX
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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