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Organization
PLAY THERAPY DALLAS, PLLC
Active
Organization
PLAY THERAPY DALLAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA STILLO MS, LPC (MEMBER/THERAPIST)
(214) 718-8341
Entity
Organization
Contact information
Practice address
5646 MILTON ST, SUITE 436, DALLAS, TX 75206-3907
(214) 718-8341
Mailing address
5646 MILTON ST, SUITE 436, DALLAS, TX 75206-3907
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63361
TX
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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