MR. Ivan D Kaufman, LCSW, MMT

NPI #1407886054 in Dallas, Texas

Provider Information

NPI Number: 1407886054
Entity Type: Individual
Name: MR. Ivan D Kaufman, LCSW, MMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW, MMT
Enumeration Date: Jul 3, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 7435 LA BOLSA DR
City: Dallas
State: Texas
ZIP Code: 75248-4248
Phone: (214) 359-6072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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