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Individual

MRS. JANET Y STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-0117041
NM
104100000X
Social Worker
Primary
I1141
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01608517
NM
05
335201
AZ
05
87901846
CO
Enumeration date
10/11/2005
Last updated
10/30/2008
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