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Individual

MR. STEVEN SAMUEL SPERANZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW LMSW ACP

Contact information

Practice address
4006 HIGHLAND DR, AUSTIN, TX 78734
(512) 909-6624
Mailing address
PO BOX 340015, AUSTIN, TX 78734
(512) 909-6624

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13681
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000069CT
BLUE CROSS BLUE SHIELD
05
063862901
TX
Enumeration date
06/19/2008
Last updated
04/12/2010
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