CARL GARETH CORDOVA

FORT WORTH, TX
NPI1700161502
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  51542)
Enumeration Date2011-10-12
Last Update Date2012-04-05
Business Address
Mr. CARL GARETH CORDOVA LCSW
4204 STAGHORN CIR N
FORT WORTH, TX 76137-1121
Phone number: 817-846-3497
Mailing Address
Mr. CARL GARETH CORDOVA LCSW
PO BOX 2512
FORT WORTH, TX 76113-2512
Phone number: 817-846-3497
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