Individual
DR. DERRICK L STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8924 JEWELLA AVE, SHREVEPORT, LA 71118-2117
(318) 688-2525
Mailing address
12117 PROVIDENCE RD, SHREVEPORT, LA 71129-8521
(318) 688-2525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
09/23/2010
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