Individual
STEPHANIE CAVAZOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1227 LIVE OAK DR, INEZ, TX 77968-3645
(361) 676-6013
(361) 987-2892
Mailing address
PO BOX 907, PORT LAVACA, TX 77979-0907
(361) 676-6013
(361) 987-2892
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
36313
TX
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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