| Clinical Social Work Services | |
|
3005 Avenue H Nederland TX 77627-7607 | |
| (409) 724-1920 | |
| (409) 724-1102 |
| Full Name | Clinical Social Work Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3005 Avenue H, Nederland, Texas |
| Authorized Official Name and Position | Carolyn Jo Bourg (PARTNER) |
| Authorized Official Contact | 4097241920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Social Work Services 3005 Avenue H Nederland TX 77627-7607 Ph: (409) 724-1920 | Clinical Social Work Services 3005 Avenue H Nederland TX 77627-7607 Ph: (409) 724-1920 |
| NPI Number | 1003002593 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003002593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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