Individual
MRS. DESIREE BERNADETTE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PASTOR
Contact information
Practice address
2427 BAXTER RD SW, ATLANTA, GA 30315-7201
(404) 438-5101
Mailing address
2427 BAXTER RD SW, ATLANTA, GA 30315-7201
(404) 438-5101
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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