Individual
STACI ALLEN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11500 NORTHWEST FWY STE 465, HOUSTON, TX 77092-6538
(713) 956-8194
Mailing address
915 B YALE ST, HOUSTON, TX 77008-6919
(713) 868-0013
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
37618
TX
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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