Jerry Wayne Fleming LCSW

NPI 1366536716 - Social Worker - 1041C0700X

NPI Details
NPI 1366536716
Gender Male
Enumeration Date 10/02/2006
Last Updated 08/23/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
205 CENTER AVENUE
BROWNWOOD TX, 76801, US
Phone (325) 649-4357
Fax (325) 646-0919
Business Location
P.O. BOX 1391
BROWNWOOD TX, 76804, US
Phone (325) 649-4357
Fax (325) 646-0919
Toxanomy
Taxonomy Code 1041C0700X
License State Texas
License Number 00289
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According to our database, Mr. Jerry Wayne Fleming LCSW NPI is 1366536716, taxonomy code is 1041C0700X and license number is 00289, license state is located at Texas. Jerry Wayne Fleming LCSW physically located at 205 Center Avenue, Brownwood TX, 76801. NPI Number Jerry Wayne Fleming LCSW has the Individual type.

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1366536716 NPI number is provided on an as is basis without warranty of any kind. 1366536716 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Wayne Fleming LCSW are for informational purposes only.