Individual
STACI WEATHERS OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 FALCON DR, WOODWAY, TX 76712-3437
(205) 529-4859
Mailing address
900 FALCON DR, WOODWAY, TX 76712-3437
(120) 552-9485
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
70235
TX
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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