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1992031645
STAUSSA C ERVIN
FORT WORTH, TX
NPI
1992031645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 61666)
Enumeration Date
2009-10-29
Last Update Date
2021-12-20
Business Address
Dr. STAUSSA C ERVIN EdD, LPC
250 W LANCASTER AVE APT 1506
FORT WORTH, TX 76102-6360
Phone number: 817-462-5057
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Mailing Address
Dr. STAUSSA C ERVIN EdD, LPC
250 W LANCASTER AVE APT 1506
FORT WORTH, TX 76102-6360
Phone number: 817-462-5057
Copy
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