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Individual

MARY E STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
801 PENNSYLVANIA AVE SE, SUITE 201, WASHINGTON, DC 20003-2167
(202) 608-4738
(202) 608-4286
Mailing address
801 PENNSYLVANIA AVE SE, SUITE 201, WASHINGTON, DC 20003-2167
(202) 608-4738
(202) 608-4286

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC13813
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22753
MEDICAID MCO CHARTERED
DC
Enumeration date
01/24/2007
Last updated
07/08/2007
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