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Organization

DEPARTMENT OF VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JANICE M SKLAR (LCSW)
(817) 730-0145
Entity
Organization

Contact information

Practice address
2201 SE LOOP 820, FORT WORTH, TX 76119-5863
(817) 730-0145
(817) 730-0606
Mailing address
2201 SE LOOP 820, FORT WORTH, TX 76119-5863
(817) 730-0145
(817) 730-0606

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
36579
TX

Other

Enumeration date
07/15/2013
Last updated
07/15/2013
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