MEDICARE: MISS CHRISTIAN JOI AIKENS LMSW

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
1	104100000X	Social Worker	107377	TX

General Provider Information

NPI Number	:	1740994706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CHRISTIAN JOI AIKENS LMSW

Provider Business Mailing Address
First Line	:	5008 EASTCREEK DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-1327
Country	:	US
Telephone Number	:	469-213-9878
Fax Number	:

Provider Business Practice Location Address
First Line	:	5008 EASTCREEK DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-1327
Country	:	US
Telephone Number	:	469-213-9878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2023
Last Update Date	:	01/12/2023

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