Department of Veteran Affairs

NPI #1992910723 in Dallas, Texas

Provider Information

NPI Number: 1992910723
Entity Type: Organization
Organization Name: Department of Veteran Affairs
Primary Specialty: Social Worker
Enumeration Date: May 14, 2007
Last Updated: Jan 25, 2008

Practice Location

Address: 4500 S LANCASTER RD
Address 2: MH COPPER TEAM 116A
City: Dallas
State: Texas
ZIP Code: 75216-7167
Phone: (214) 857-0912

Authorized Official

Name: MRS. DIANA WILLIS, L.M.S.W.
Title: MENTAL HEALTH SOCIAL WORKER
Phone: (214) 857-0912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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