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Individual

TAMIKO LYNNE STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8226 DOUGLAS AVE STE 805, DALLAS, TX 75225-5930
(972) 689-8859
(214) 373-3404
Mailing address
8226 DOUGLAS AVE STE 805, DALLAS, TX 75225-5930
(972) 689-8859
(214) 373-3404

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
TX
104100000X
Social Worker

Other

Enumeration date
11/02/2022
Last updated
11/02/2022
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