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1356875389
IVY STENECK
GRAPEVINE, TX
NPI
1356875389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13394)
Enumeration Date
2017-04-17
Last Update Date
2017-04-17
Business Address
-- IVY STENECK LCDC
2300 WILLIAM D TATE AVE
GRAPEVINE, TX 76051-3919
Phone number: 817-424-9013
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Mailing Address
-- IVY STENECK LCDC
2300 WILLIAM D TATE AVE
GRAPEVINE, TX 76051-3919
Phone number: 817-424-9013
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