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Contact Information

GORDON L MUNN, LCSW
675 TOWN SQUARE BLVD
SUITE 200, BUILDING 1A
GARLAND, TX75040
 Phone: 214-804-9262
 Fax: 972-495-1863
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for GORDON L MUNN · (Male)

NPI Number 1417957192
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/26/2005
Last updated 06/24/2014 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 22687
  • TX Medicaid 064284501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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