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Individual

CASSANDRA SUE HANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, LCDC

Contact information

Practice address
239 S VIRGINIA ST, STEPHENVILLE, TX 76401-4344
(254) 965-5515
(254) 965-7416
Mailing address
239 S VIRGINIA ST, STEPHENVILLE, TX 76401-4344
(254) 965-5515
(254) 965-7416

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11569
TX
104100000X
Social Worker
39487
TX

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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