Mary Geraldine Carr, LCSW
Social Worker, Clinical in Dickinson, TX. Individual provider (NPI-1).
NPI number1528815768
StatusActive
Last updated in NPPESMay 6, 2024
Details
- NPI
- 1528815768
- Entity type
- Individual (NPI-1)
- Name
- Mary Geraldine Carr
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2024
- Certification date
- May 5, 2024
- Last updated
- May 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 68803 | TX | Yes |
Practice location
2104 Casa Rio CirDickinson, TX 77539-6725
Phone 409-392-1059
Mailing address
2104 Casa Rio CirDickinson, TX 77539-6725
Phone 409-392-1059
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