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1760809784
STEPHANIE A VAN FOSSEN
AUSTIN, TX
NPI
1760809784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 69251)
Enumeration Date
2014-03-27
Last Update Date
2015-03-02
Business Address
-- STEPHANIE A VAN FOSSEN LPC
56 EAST AVE
AUSTIN, TX 78701-4323
Phone number: 512-473-4357
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Mailing Address
-- STEPHANIE A VAN FOSSEN LPC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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