Individual
CARRIE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
3353 LOUSMA DR SE, WYOMING, MI 49548-2251
(616) 241-6258
Mailing address
3353 LOUSMA DR SE, WYOMING, MI 49548-2251
(616) 241-6258
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
52286
—
Other
Enumeration date
02/02/2015
Last updated
02/05/2015
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