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1528560844
STACY SUE CROWNOVER
FORT WORTH, TX
NPI
1528560844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP135935)
Enumeration Date
2018-03-02
Last Update Date
2021-04-26
Business Address
STACY SUE CROWNOVER PMHNP
1500 S MAIN ST FL 2
FORT WORTH, TX 76104-4917
Phone number: 817-702-3636
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Mailing Address
STACY SUE CROWNOVER PMHNP
1136 HUMMINGBIRD LN
GLEN ROSE, TX 76043-6910
Phone number: 432-631-5933
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