MEDICARE: STELLOUISE MARGARET RAMER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1215559984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STELLOUISE MARGARET RAMER

Provider Business Mailing Address
First Line	:	2116 THOMPSON RD STE 102
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5415
Country	:	US
Telephone Number	:	281-589-2418
Fax Number	:	281-251-8516

Provider Business Practice Location Address
First Line	:	2116 THOMPSON RD STE 102
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5415
Country	:	US
Telephone Number	:	281-589-2418
Fax Number	:	281-251-8516

Authorized Official
Title or Position	:	OWNER
Name	:	STELLOUISE MARGARET RAMER
Credential	:	LCSW
Telephone Number	:	281-589-2418

Provider Enumeration Date	:	05/15/2020
Last Update Date	:	05/15/2020

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