NPI 1003002593

Clinical Social Work Services

Organisation Clinical Social Worker Nederland, TX

Practice location

Address: 3005 Avenue H, Nederland, TX 77627-7607
Phone: (409) 724-1920
Fax: (409) 724-1102

Authorised official

Name: Carolyn Jo Bourg
Title: Partner
Phone: (409) 724-1920

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Texas →

Registry record

NPI: 1003002593
Entity type: Organization
NPI issued: 19 Sep 2007
Record last updated: 19 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.