NPI | 1972804151 |
---|---|
Other Name | DENNARD MCINNIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54105) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 54105) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2022-06-17 |