Individual
SUSAN J. STEVENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LDN
Contact information
Practice address
2209 JACKSON TOWN RD, SPRUCE PINE, NC 28777-5637
(828) 765-4365
Mailing address
2209 JACKSON TOWN RD, SPRUCE PINE, NC 28777-5637
(828) 765-4365
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
L001615
NC
Other
Enumeration date
03/14/2012
Last updated
04/02/2015
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