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Individual
MR. THOMAS CHRISTOPHER STEPHENS
Active
Individual
MR. THOMAS CHRISTOPHER STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R0415881
NY
104100000X
Social Worker
Primary
R0415881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01906532
—
NY
Enumeration date
11/06/2006
Last updated
02/09/2010
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