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1619413341
STEFANIE DIANE BANDA
SAN ANTONIO, TX
NPI
1619413341
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Former Name
STEFANIE DIANE LOPEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 66372)
Enumeration Date
2017-01-19
Last Update Date
2024-08-13
Business Address
STEFANIE DIANE BANDA LPC
2151 ABADEER TRL
SAN ANTONIO, TX 78253-6704
Phone number: 210-831-3383
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Mailing Address
STEFANIE DIANE BANDA LPC
2151 ABADEER TRL
SAN ANTONIO, TX 78253-6704
Phone number: 210-831-3383
Copy
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