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1174871883
STACY J BAUMAN
RICHARDSON, TX
NPI
1174871883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 66347)
Enumeration Date
2012-08-28
Last Update Date
2012-08-28
Business Address
-- STACY J BAUMAN M.S., LPC-Intern
275 W CAMPBELL RD
RICHARDSON, TX 75080-3601
Phone number: 817-939-6308
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Mailing Address
-- STACY J BAUMAN M.S., LPC-Intern
6725 CAMBRIAN WAY
FORT WORTH, TX 76137-6603
Phone number: 817-939-6308
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