Individual
DEBRA K STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
145 KENOVA AVE, WAYNE, WV 25570
(304) 525-7851
(304) 525-1073
Mailing address
RR 2 BOX 2449, WAYNE, WV 25570-9762
(304) 525-7851
(304) 525-1073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AP00455073
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP00450373
LSW
WV
Enumeration date
10/11/2006
Last updated
07/08/2007
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