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Individual
MRS. STEPHANIE S DEGRATE
Active
Individual
MRS. STEPHANIE S DEGRATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-S
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55516
LICENSE
TX
Enumeration date
01/04/2018
Last updated
06/11/2024
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