Provider Demographics
NPI:1760135800
Name:ROWE, CORRINE LASHUNDA (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:CORRINE
Middle Name:LASHUNDA
Last Name:ROWE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 AUDRA LN APT C
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-6348
Mailing Address - Country:US
Mailing Address - Phone:469-748-7623
Mailing Address - Fax:
Practice Address - Street 1:428 AUDRA LN APT C
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-6348
Practice Address - Country:US
Practice Address - Phone:469-748-7623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX615401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical