Samantha Rae Sophie Stough, LCSW

NPI #1033988167 in Waco, Texas

Provider Information

NPI Number: 1033988167
Entity Type: Individual
Name: Samantha Rae Sophie Stough, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 29, 2023
Last Updated: Dec 29, 2023

Practice Location

Address: 5931 CROSSLAKE PKWY
City: Waco
State: Texas
ZIP Code: 76712-6986
Phone: (254) 870-5457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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