Provider Demographics
NPI:1699831347
Name:DUNAWAY, JULIA A (LCSW, BCD)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:A
Last Name:DUNAWAY
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 DUNAWAY LN
Mailing Address - Street 2:
Mailing Address - City:AZLE
Mailing Address - State:TX
Mailing Address - Zip Code:76020-3207
Mailing Address - Country:US
Mailing Address - Phone:817-919-7761
Mailing Address - Fax:
Practice Address - Street 1:517 DUNAWAY LN
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-3207
Practice Address - Country:US
Practice Address - Phone:817-919-7761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical