Individual
BIANCA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
829 E OAK ST, KISSIMMEE, FL 34744-5829
(800) 614-4124
Mailing address
540 W LAKE MARY BLVD, SANFORD, FL 32773-7400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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