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Individual

STACY JOANA SUAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5701 MAPLE AVE STE 100, DALLAS, TX 75235-6596
(214) 351-6600
(214) 351-5046
Mailing address
5701 MAPLE AVE STE 100, DALLAS, TX 75235-6596
(214) 351-6600
(214) 351-5046

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216312
TX

Other

Enumeration date
06/27/2022
Last updated
06/27/2022
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