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NPI 1386035996

NPI 1386035996 : DARRELL PARSONS, LCSW, PLLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1386035996
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    Entity Type          |    Organization 
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    Legal Business Name  |    DARRELL PARSONS, LCSW, PLLC 
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Dates
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    Enumeration Date     |    02/18/2015
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    Last Update Date     |    02/18/2015
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Provider Practice Location Address
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    Address Line         |    7434 LOUIS PASTEUR DR SUITE 22
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-4538
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    Country              |    US
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    Telephone            |    210-324-4900
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    Fax                  |    210-877-0939
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Provider Business Mailing Address
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    Address Line         |    PO BOX 691147 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78269-1147
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    Country              |    US
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    Telephone            |    210-324-4900
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    Fax                  |    210-877-0939
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Authorized Official
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    Title or Position    |    PROVIDER
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    Name                 |    MR. DARRELL EDWARD PARSONS 
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    Credential           |    LCSW
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    Telephone            |    210-324-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    41126
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    License Number State |    TX
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