TODD ALLEN GJERDEVIG

SOUTHLAKE, TX
NPI1073764957
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  37507)
Enumeration Date2008-10-09
Last Update Date2020-01-15
Business Address
TODD ALLEN GJERDEVIG LCSW
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 817-908-0296
Mailing Address
TODD ALLEN GJERDEVIG LCSW
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 817-908-0296