Individual
ALYSSA LEE STEPHENSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5477 VILLAGE GREEN CT, APT. C, TERRE HAUTE, IN 47803-4279
(515) 570-9877
Mailing address
5477 VILLAGE GREEN CT, APT. C, TERRE HAUTE, IN 47803-4279
(515) 570-9877
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/12/2006
Last updated
07/08/2007
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