Doctor Name: | MS. DALIA S ESPERICUETA |
NPI Number: | 1134285612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 20503 |
Business Practice Address: | 100 N Main St Suite 304 Corsicana, TX - 751105215 |
Business Phone Number: | 9038747133 |
Business Fax Number: | 9038741495 |
Mailing Address: | 341 Wesley Dr, CORSICANA |
State: | TX |
Postal Code: | 751101374 |
Phone Number: | 9038747133 |
Fax Number: | 9038741495 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 20503 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |