Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 35283 | TX |
NPI | 1003024688 |
---|---|
Provider Name | Ms. Karen R. Dorrier |
First Address | Austin, TX 78704-2911 |
Second Address | Austin, TX 78701-4323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
166269401 | (05) | TX |