Provider Demographics
NPI:1962751230
Name:SEDGWICK, HAROLD GREGORY JR (LMSW)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:GREGORY
Last Name:SEDGWICK
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:525 S CARROLL BLVD
Mailing Address - Street 2:STE. 207
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-7415
Mailing Address - Country:US
Mailing Address - Phone:469-296-8337
Mailing Address - Fax:972-947-3975
Practice Address - Street 1:525 S CARROLL BLVD
Practice Address - Street 2:STE. 207
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-7415
Practice Address - Country:US
Practice Address - Phone:469-296-8337
Practice Address - Fax:972-947-3975
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-02
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56469104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker