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1932874633
RITUAL WELLNESS ATX PLLC
AUSTIN, TX
NPI
1932874633
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Entity Type
Organization
Authorized Contact
SHANNON LEIGH STAVINOHA
Licensed Psychologist
903-914-0224
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2021-08-13
Last Update Date
2021-09-16
Business Address
RITUAL WELLNESS ATX PLLC
4131 SPICEWOOD SPRINGS RD STE I7
AUSTIN, TX 78759-8659
Phone number: 903-914-0224
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Mailing Address
RITUAL WELLNESS ATX PLLC
PO BOX 170073
AUSTIN, TX 78717-0004
Phone number:
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