Individual
LESLIE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 ULMER LAKE DR, WALTERBORO, SC 29488-9417
(843) 599-2002
Mailing address
409 ULMER LAKE DR, WALTERBORO, SC 29488-9417
(843) 599-2002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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