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General NPI Number Information
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NPI Number | 1588982623
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Entity Type | Organization
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Legal Business Name | STEPHANIE K. DEWOLFE, LCSW, PLLC
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 1506 WINDING WAY DR STE #204
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5391
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Country | US
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Telephone | 281-482-9222
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Fax | 281-482-9222
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Provider Business Mailing Address
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Address Line | 1506 WINDING WAY DR STE #204
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5391
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Country | US
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Telephone | 281-482-9222
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Fax | 281-482-9222
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. STEPHANIE KAYE DEWOLFE
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Credential | LCSW
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Telephone | 281-787-6186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 26990
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License Number State | TX
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