BRENTON WAYNE KORNEGAY

FORT WORTH, TX
NPI1073290672
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: TX  30113)
Enumeration Date2023-07-05
Last Update Date2023-07-05
Business Address
BRENTON WAYNE KORNEGAY LBSW
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
Mailing Address
BRENTON WAYNE KORNEGAY LBSW
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300