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Individual

JOSEPH PATRICK SMULLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW-S

Contact information

Practice address
5606 N NAVARRO ST STE 302A, VICTORIA, TX 77904-1770
(361) 210-6898
(832) 324-7856
Mailing address
604E POLK AVE, VICTORIA, TX 77901-2604
(361) 237-0729

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
57483
TX
1041C0700X
Clinical Social Worker
574813
TX

Other

Enumeration date
02/20/2013
Last updated
10/02/2023
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