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Individual
ALLISON M STEVENS
Active
Individual
ALLISON M STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200271430A
DMH CONTRACTED
OK
01
—
200277580A
DMH CONTRACTED
OK
01
—
200277590A
DMH CONTRACTED
OK
Enumeration date
10/20/2011
Last updated
10/20/2011
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