Individual
CAITLYN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
482 BRICK BLVD STE 2, BRICK, NJ 08723-6077
(732) 705-1082
Mailing address
PO BOX 959, ASBURY PARK, NJ 07712-0959
(732) 705-1082
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05904100
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05746400
NJ
Other
Enumeration date
09/29/2013
Last updated
07/23/2019
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