INGRID L SHADOW

FORT WORTH, TX
NPI1063272292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  35298)
Enumeration Date2024-03-22
Last Update Date2024-03-22
Business Address
INGRID L SHADOW LCSW
3540 MANDERLY PL
FORT WORTH, TX 76109-4520
Phone number: 817-739-8170
Mailing Address
INGRID L SHADOW LCSW
3540 MANDERLY PL
FORT WORTH, TX 76109-4520
Phone number: 817-739-8170
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