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NPI Code Detail

MEDICARE: KIM D ENGLAND LCSW

MEDICARE: KIM D ENGLAND LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker37366TX

General Provider Information

NPI Number : 1518195775
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM D ENGLAND LCSW
Provider Business Mailing Address
First Line : 1300 KELLER PKWY APT 522
Second Line :
City : KELLER
State : TX
Zip : 76248-1608
Country : US
Telephone Number : 817-374-9809
Fax Number :
Provider Business Practice Location Address
First Line : 1700 COVEMEADOW DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-5407
Country : US
Telephone Number : 972-836-9387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2009
Last Update Date : 05/23/2022

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Directions to “ KIM D ENGLAND LCSW” Practice Location

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