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Individual

MS. LAUREN CATHERINE STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3436 7TH ST, LEWISTON, ID 83501-4967
(307) 699-4308
Mailing address
3436 7TH ST, LEWISTON, ID 83501-4967
(307) 699-4308

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
02/16/2023
Last updated
02/16/2023
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