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Individual

STEPHANIE MARIE PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
3006 BEE CAVES RD STE D310, AUSTIN, TX 78746-5753
(512) 956-6463
Mailing address
508 DEEP EDDY AVE, AUSTIN, TX 78703-4555
(512) 956-6463
(512) 469-6002

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
77577
TX

Other

Enumeration date
07/09/2019
Last updated
07/09/2019
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