Individual
FRED DOUGLAS STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.,LCSW, LMFT
Contact information
Practice address
6212 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-2694
(352) 795-7070
Mailing address
6212 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-2694
(352) 795-7070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW96
FL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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