Individual
MS. LIESHA L STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 LOUISE LN, CAHOKIA, IL 62206-2736
(618) 332-9800
Mailing address
39 LOUISE LN, CAHOKIA, IL 62206-2736
(618) 332-9800
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
NON-MEDICAIL HOME SERVICES
—
01
—
NA
NA
—
Enumeration date
12/11/2021
Last updated
12/11/2021
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