Provider Information for 1821875717
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STEPHANIE FOX LPC
Sex: Female
NPI: 1821875717
Last Updated: 2023-09-13
Certification Date: 2023-09-11
Certification Date: 2023-09-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1821875717 | ||||||||
| Enumeration Date | 2023-09-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 601 STRADA CIR MANSFIELD, TX 76063-3212 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 601 STRADA CIR MANSFIELD, TX 76063-3212 United States Phone: 817-881-6169 | Fax: | ||||||||
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