Individual
COWAN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
143 GOUGLER AVE, KENT, OH 44240-2401
(234) 788-4438
(330) 564-9986
Mailing address
PO BOX 933132, CLEVELAND, OH 44193-0036
(888) 975-9188
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW.001604
OH
Other
Enumeration date
09/21/2021
Last updated
10/12/2021
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