Kimberly A Madeja LCSW

NPI 1720283989 - Social Worker - 1041C0700X

NPI Details
NPI 1720283989
Gender Female
Enumeration Date 06/18/2007
Last Updated 07/14/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
901 7TH AVE
STE 410
FORT WORTH TX, 76104-2722, US
Phone (682) 885-7960
Fax (682) 885-1327
Business Location
PO BOX 99213
FORT WORTH TX, 76199-0213, US
Phone (682) 885-4871
Fax (682) 885-3939
Toxanomy
Taxonomy Code 1041C0700X
License State Texas
License Number 33937
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According to our database, Kimberly A Madeja LCSW NPI is 1720283989, taxonomy code is 1041C0700X and license number is 33937, license state is located at Texas. Kimberly A Madeja LCSW physically located at 901 7th Ave, Fort Worth TX, 76104-2722. NPI Number Kimberly A Madeja LCSW has the Individual type.

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1720283989 NPI number is provided on an as is basis without warranty of any kind. 1720283989 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly A Madeja LCSW are for informational purposes only.