Kelly Dilworth, Carol Ann

Kelly Dilworth, Carol Ann is an sole proprietor health care provider with primary practice located at 7555 Foss Mdws , San Antonio TX 78244-2250. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Kelly Dilworth, Carol Ann can be contacted via phone (210) 875-4663.

Contact Information

Primary practice address
7555 Foss Mdws San Antonio TX 78244-2250
Phone: (210) 875-4663
Fax: (000) 000-0000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 25770 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X 25770 Texas

Profile Details

NPI number 1720288806
LBN Legal business name Kelly Dilworth, Carol Ann
Credentials L.B.S.W
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2007
Last updated Dec 6th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720288806 NPPES
Texas Other 25770 TEXAS STATE BOARD OF SOCI

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