Individual
STEPHANIE TAYLOR EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
15 WALLER ST, AUSTIN, TX 78702-5240
(512) 972-5868
(512) 972-5451
Mailing address
15 WALLER ST, AUSTIN, TX 78702-5240
(512) 972-5868
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24026
TX
Other
Enumeration date
09/16/2017
Last updated
09/16/2017
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