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1033988167
SAMANTHA RAE SOPHIE STOUGH
WACO, TX
NPI
1033988167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 105562)
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
SAMANTHA RAE SOPHIE STOUGH LCSW
5931 CROSSLAKE PKWY
WACO, TX 76712-6986
Phone number: 254-870-5457
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Mailing Address
SAMANTHA RAE SOPHIE STOUGH LCSW
PO BOX 163
ELM MOTT, TX 76640-0163
Phone number: 903-851-1969
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