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NPI Code Detail

MEDICARE: MICHELLE DOONKEEN LCSW

MEDICARE:   MICHELLE  DOONKEEN  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
1104100000XSocial Worker41688TX

General Provider Information

NPI Number : 1992850739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE DOONKEEN LCSW
Provider Business Mailing Address
First Line : 2508 LITTLE RD STE 200
Second Line :
City : ARLINGTON
State : TX
Zip : 76016-1301
Country : US
Telephone Number : 817-584-1705
Fax Number :
Provider Business Practice Location Address
First Line : 2508 LITTLE RD STE 200
Second Line :
City : ARLINGTON
State : TX
Zip : 76016-1301
Country : US
Telephone Number : 817-584-1705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 06/16/2021

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Directions to “ MICHELLE DOONKEEN LCSW” Practice Location

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