Individual
KATHERINE MELISSA STAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1216 DUNCAN RD, COPPERAS COVE, TX 76522-7409
(254) 577-4880
Mailing address
2740 SIKES DR UNIT B, KEMPNER, TX 76539-6928
(919) 720-1101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106676
TX
1041C0700X
Clinical Social Worker
106676
TX
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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