Roosevelt Stacy, LCSW-S, LMFT-S

NPI #1093820490 in Rosenberg, Texas

Provider Information

NPI Number: 1093820490
Entity Type: Individual
Name: Roosevelt Stacy, LCSW-S, LMFT-S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW-S, LMFT-S
Enumeration Date: Aug 19, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 1002 E STADIUM DR
City: Rosenberg
State: Texas
ZIP Code: 77471-2579
Phone: (281) 762-8383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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