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NPI Code Detail

MEDICARE: HELEN P. ROSENBERG-WAKS LCSW

MEDICARE: HELEN P. ROSENBERG-WAKS 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 Worker30462TX

General Provider Information

NPI Number : 1982635512
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN P. ROSENBERG-WAKS LCSW
Provider Business Mailing Address
First Line : 4054 MCKINNEY AVE STE 102
Second Line :
City : DALLAS
State : TX
Zip : 75204-2050
Country : US
Telephone Number : 214-520-6308
Fax Number : 214-521-9172
Provider Business Practice Location Address
First Line : 4054 MCKINNEY AVE STE 102
Second Line :
City : DALLAS
State : TX
Zip : 75204-2050
Country : US
Telephone Number : 214-520-6308
Fax Number : 214-521-9172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 04/29/2008

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