# DOUGLAS B STEPHENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558478339
- **Gender:** Man
- **Credential:** LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | R058282-1 | NY | — |
| 106H00000X | Marriage & Family Therapist | 000344 | NY | — |
| 106H00000X | Marriage & Family Therapist | 1542 | NH | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 03/23/2018