Individual
JACQUELINE IVANA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
954 BIRMINGHAM ST, BRIDGEPORT, CT 06606-3203
(203) 682-5278
Mailing address
954 BIRMINGHAM ST, BRIDGEPORT, CT 06606-3203
(203) 682-5278
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6921
CT
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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