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1316205172
MARIANNE SEVILLA STOUT
AUSTIN, TX
NPI
1316205172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: TX 36011)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
-- MARIANNE SEVILLA STOUT PhD
8705 SHOAL CREEK BLVD 108
AUSTIN, TX 78757-6802
Phone number: 512-436-3225
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Mailing Address
-- MARIANNE SEVILLA STOUT PhD
5104 WOODVIEW AVE
AUSTIN, TX 78756-1905
Phone number: 512-574-5854
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