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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS LISA QUEENESTER MARONEY

Active Sole Proprietor

MISS LISA QUEENESTER MARONEY is a Developmental Disabilities Clinic healthcare provider located in FORT WORTH, Texas. NPI 1588801351 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · FORT WORTH, TX

Registration Details

NPI Number
1588801351
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2009 (17.568364392597 yrs)
Last Updated
Jan 15, 2009
Sole Proprietor
Yes

Practice Information

Address
320 AUTUMN PARK
FORT WORTH, TX, 761406524
Browse TX providers · Browse ZIP 76140
Phone
8175655984
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
Additional Specialty
Foster Care Agency
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.