Individual
ANGELA B STEVENSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 BICENTENNIAL WAY, CHILD PSYCHIATRY, SANTA ROSA, CA 95403-2149
(707) 571-3743
(707) 571-3796
Mailing address
610 LOS ALAMOS RD, SANTA ROSA, CA 95409-4413
(707) 537-1440
(707) 571-3796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16177
CA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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