Individual
MISS LAURA JANE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS, CADC-R, CRM
Contact information
Practice address
900 E MAIN ST, MEDFORD, OR 97504-7136
(541) 500-0977
(541) 842-7640
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
05/25/2023
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