STACEY LYNN LEWIS

FORT WORTH, TX
NPI1154648236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  40629)
Enumeration Date2010-04-28
Last Update Date2010-04-28
Business Address
-- STACEY LYNN LEWIS LCSW
3800 HULEN ST STE 295
FORT WORTH, TX 76107-7276
Phone number: 817-255-2566
Mailing Address
-- STACEY LYNN LEWIS LCSW
3131 SANGUINET ST
FORT WORTH, TX 76107-5336
Phone number: 817-255-2655
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