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Provider Information for 1760639447


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Mrs. TERESA LYNN ADCOCK LMSW


Sex: Female

NPI: 1760639447
Last Updated: 2008-08-25
Certification Date:

Details

NameValue
NPI1760639447
Enumeration Date2008-08-25
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 105 PECAN TRL
BELTON, TX 76513-6242
United States

Phone: 254-760-2362 | Fax:
 
Primary Practice Address 1901 VETERANS MEMORIAL DR
TEMPLE, TX 76504-7451
United States

Phone: 254-743-2598 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker TX39353