Virginia Bralley Dalton, LCSW-S
Social Worker, Clinical in Live Oak, TX. Individual provider (NPI-1).
NPI number1104249986
StatusActive
Last updated in NPPESJan 26, 2023
Details
- NPI
- 1104249986
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Virginia Bralley Dalton
- Credential
- LCSW-S
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2014
- Certification date
- Jan 26, 2023
- Last updated
- Jan 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 56256 | TX | Yes |
| 104100000X | Social Worker | 56256 | TX | |
| 171M00000X | Case Manager/Care Coordinator | 56256 | TX |
Practice location
11901 Toepperwein Rd Ste 1202Live Oak, TX 78233-3159
Phone 210-951-3479
Mailing address
190 Granite MistUniversal City, TX 78148-3644
Phone 210-872-8321
Other practice locations
1101 E Schuster Ave
El Paso, TX 79902-4659
El Paso, TX 79902-4659
Phone 210-544-8484
333 N Santa Rosa St
San Antonio, TX 78207-3108
San Antonio, TX 78207-3108
Phone 210-704-4162
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