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1558629006
STEPHANIE M. SIFUENTES
AUSTIN, TX
NPI
1558629006
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Former Name
STEPHANIE MICHELLE BLAIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 52403)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- STEPHANIE M. SIFUENTES LCSW
1717 W 10TH ST
AUSTIN, TX 78703-3907
Phone number: 512-804-3109
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Mailing Address
-- STEPHANIE M. SIFUENTES LCSW
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-804-3109
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