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1457890386
STEPHANIE LONGTAIN
HOUSTON, TX
NPI
1457890386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 56533)
Enumeration Date
2017-02-12
Last Update Date
2021-09-14
Business Address
STEPHANIE LONGTAIN LCSW
810 W 21ST ST
HOUSTON, TX 77008-3514
Phone number: 210-288-3699
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Mailing Address
STEPHANIE LONGTAIN LCSW
810 W 21ST ST
HOUSTON, TX 77008-3514
Phone number:
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