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Individual
JOEY JUSTIN STEVENSON
Active
Individual
JOEY JUSTIN STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
09/25/2015
Last updated
07/06/2023
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