Individual
BREANNA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 INDIANOLA AVE, COLUMBUS, OH 43201-2118
(614) 300-5244
Mailing address
1515 INDIANOLA AVE, COLUMBUS, OH 43201-2118
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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