Provider Demographics
NPI:1902320765
Name:MCQUEARY, TAMARA WOBIG (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:WOBIG
Last Name:MCQUEARY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 MEADOWLARK DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-1518
Mailing Address - Country:US
Mailing Address - Phone:817-614-2848
Mailing Address - Fax:
Practice Address - Street 1:801 ROAD TO SIX FLAGS W STE 145
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2600
Practice Address - Country:US
Practice Address - Phone:817-389-9804
Practice Address - Fax:807-389-9805
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX588941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical