Individual
MRS. STACY ANN LYNCH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
758 COUNTY ROAD 417, EVANT, TX 76525
(254) 716-2035
Mailing address
P.O. BOX 351, EVANT, TX 76525
(254) 716-2035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
50551
TX
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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