Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 27870 | TX |
NPI | 1003088055 |
---|---|
Provider Name | Mrs. Cheryl M Vanderwel |
First Address | Lewisville, TX 75077-2116 |
Second Address | Lewisville, TX 75077-2116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2008 |
Last Update Date | 02/04/2008 |