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Individual

DETDRA STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS

Contact information

Practice address
3865 TIMBERVIEW LN, HARVEY, LA 70058
(504) 281-3846
Mailing address
3865 TIMBERVIEW LN, HARVEY, LA 70058-2010
(504) 281-3846

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/02/2015
Last updated
05/31/2018
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