Provider Demographics
NPI:1912157579
Name:HINTON, JUANITA DOLORES (LMSW)
Entity type:Individual
Prefix:MISS
First Name:JUANITA
Middle Name:DOLORES
Last Name:HINTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:36000 DARNELL LOOP
Mailing Address - Street 2:CARL R. DARNELL ARMY MEDICAL CENTER
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-288-8025
Mailing Address - Fax:254-286-7326
Practice Address - Street 1:36000 DARNELL LOOP
Practice Address - Street 2:CARL R. DARNELL ARMY MEDICAL CENTER
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-288-8025
Practice Address - Fax:254-286-7326
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010806541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical