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1013116607
STACEY L. CUNNINGHAM
BASTROP, TX
NPI
1013116607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 19686)
Enumeration Date
2007-07-13
Last Update Date
2007-07-13
Business Address
Ms. STACEY L. CUNNINGHAM LPC
1011 ALLEY A ST
BASTROP, TX 78602-3240
Phone number: 512-581-8435
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Mailing Address
Ms. STACEY L. CUNNINGHAM LPC
1011 ALLEY A
BASTROP, TX 78602-3240
Phone number: 512-581-8435
Copy
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