Provider Information for 1134512601
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CAROLYN PRESNALL LCSW
Sex: Female
NPI: 1134512601
Last Updated: 2015-08-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1134512601 | ||||||||||||||||
| Enumeration Date | 2015-03-09 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | PO BOX 2603 HTN, CLIENT ACCOUNTING FORT WORTH, TX 76113-2603 United States Phone: 817-569-4300 | Fax: | ||||||||||||||||
| Primary Practice Address | 3840 HULEN ST HTN, CLIENT ACCOUNTING FORT WORTH, TX 76107-7277 United States Phone: 817-569-4300 | Fax: | ||||||||||||||||
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