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Individual

STEPHANIE LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHCA, NCC

Contact information

Practice address
19109 W CATAWBA AVE STE 200, CORNELIUS, NC 28031-5614
(704) 858-4720
Mailing address
19109 W CATAWBA AVE STE 200, CORNELIUS, NC 28031-5614
(704) 858-4720

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A16347
NC

Other

Enumeration date
04/02/2021
Last updated
04/02/2021
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