Provider Demographics
NPI:1770635591
Name:TURNER, MARY (LMSW)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 WESTKENDAL LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-1146
Mailing Address - Country:US
Mailing Address - Phone:817-319-4967
Mailing Address - Fax:817-276-0945
Practice Address - Street 1:2003 WESTKENDAL LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-1146
Practice Address - Country:US
Practice Address - Phone:817-319-4967
Practice Address - Fax:817-276-0945
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31515104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker