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Individual

STEPHANIE STAVINOGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
567 CASON LN STE A, MURFREESBORO, TN 37128-4871
(615) 440-8294
Mailing address
4550 ROCKDALE FELLOWSHIP RD, MOUNT JULIET, TN 37122-7728
(615) 440-8294

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3758
TN

Other

Enumeration date
04/26/2017
Last updated
04/26/2017
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