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1174186274
SHANNON L. STAVINOHA
AUSTIN, TX
NPI
1174186274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: TX 38174)
Enumeration Date
2019-04-15
Last Update Date
2021-08-23
Business Address
Dr. SHANNON L. STAVINOHA Ph.D.
4131 SPICEWOOD SPRINGS RD STE I7
AUSTIN, TX 78759-8659
Phone number: 903-914-0224
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Mailing Address
Dr. SHANNON L. STAVINOHA Ph.D.
6705 W HIGHWAY 290 P.O. BOX # 50225
AUSTIN, TX 78735
Phone number: 903-914-0224
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