Individual
DR. STACEY LAVORO REXRODE
Active
Individual
DR. STACEY LAVORO REXRODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35059
TX
103TC0700X
Clinical Psychologist
PY 6175
FL
Other
Enumeration date
05/08/2006
Last updated
09/28/2011
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