Individual
ALICE A. STEPHENS
Active
Individual
ALICE A. STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW4388
FL
1041C0700X
Clinical Social Worker
Primary
SW4388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189743
WELLCARE
FL
01
—
762259700
MEDICAID COMP. ASSESS.
FL
01
—
765587800
MEDICAID CASE MGMT.
FL
01
—
Z028J
BC/BS
FL
Enumeration date
02/27/2006
Last updated
06/17/2008
Update your record
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