Individual
SHELBY STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2024046920
MO
104100000X
Social Worker
65557
TX
Other
Enumeration date
01/02/2024
Last updated
01/06/2025
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