Individual
PHYLLIS STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
525 E MAIN ST, HEBRON, OH 43025-9702
(740) 928-5878
Mailing address
525 E MAIN ST, HEBRON, OH 43025-9702
(740) 928-5878
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
BG1005512
OH
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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