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General NPI Number Information
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NPI Number | 1508312406
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Entity Type | Individual
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Provider Name | STEPHANEE HOLMES LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1426 TERRAIN RD
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-3543
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Country | US
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Telephone | 661-900-0978
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Fax |
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Provider Business Mailing Address
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Address Line | 1426 TERRAIN RD
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-3543
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Country | US
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Telephone | 661-900-0978
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 116350
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW113176
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License Number State | CA
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