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Organization
GROWTH SPACE, PLLC
Active
Organization
GROWTH SPACE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE STANGLIN LICSW (OWNER, THERAPIST)
(903) 224-2262
Entity
Organization
Contact information
Practice address
100 INDEPENDENCE PL STE 201, TYLER, TX 75703-1327
(903) 224-2262
Mailing address
6417 PENN AVE S STE 7-216, MINNEAPOLIS, MN 55423-1186
(903) 224-2262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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