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1750639464
TIMOTHY R. STACEY
AUSTIN, TX
NPI
1750639464
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Other Name
TIM STACEY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 65902)
Enumeration Date
2012-08-28
Last Update Date
2012-08-28
Business Address
-- TIMOTHY R. STACEY LPC
1631 E 2ND ST STE D
AUSTIN, TX 78702-4491
Phone number: 512-804-3600
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Mailing Address
-- TIMOTHY R. STACEY LPC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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