Holly Lorraine Fancher, LCSW
Social Worker, Clinical in Grapevine, TX. Individual provider (NPI-1).
NPI number1154771889
StatusActive
Last updated in NPPESJun 14, 2016
Details
- NPI
- 1154771889
- Entity type
- Individual (NPI-1)
- Name
- Ms. Holly Lorraine Fancher
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2016
- Last updated
- Jun 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 54586 | TX | Yes |
Practice location
1452 Hughes RdSuite 375
Grapevine, TX 76051-7366
Phone 573-259-7355
Mailing address
1452 Hughes Rd375
Grapevine, TX 76051-7366
Phone 573-259-7355
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