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Individual

FAITH ANTOINETTE STORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
13656 BRETON RIDGE ST # AH, HOUSTON, TX 77070-6081
(281) 429-8780
Mailing address
601 REGENCY DR, DEER PARK, TX 77536-6174
(832) 766-2774

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
52413
TX
1041C0700X
Clinical Social Worker
Primary
52413
TX

Other

Enumeration date
08/24/2023
Last updated
02/14/2024
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