Kara Diane Matej Leon, LCSW
Social Worker, Clinical in Fort Worth, TX. Individual provider (NPI-1).
NPI number1639891799
StatusActive
Last updated in NPPESSep 11, 2024
Details
- NPI
- 1639891799
- Entity type
- Individual (NPI-1)
- Name
- Kara Diane Matej Leon
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2022
- Certification date
- Sep 11, 2024
- Last updated
- Sep 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 65337 | TX | Yes |
Practice location
6300 John Ryan DrFort Worth, TX 76132-4122
Phone 817-922-6000 · Fax 817-922-5955
Mailing address
6300 John Ryan DrFort Worth, TX 76132-4122
Phone 817-922-6000 · Fax 817-922-5955
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