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Individual

MS. KIMBERLY STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW / LCSW

Contact information

Practice address
1043 CENTER DR, RICHMOND, KY 40475-3838
(606) 548-0264
Mailing address
1043 CENTER DR, RICHMOND, KY 40475-3838
(606) 548-0264

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
5453
KY
1041C0700X
Clinical Social Worker
Primary
5036
KY

Other

Enumeration date
04/01/2013
Last updated
10/09/2024
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