Individual
MS. CAROL A STEVENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
166 W 72ND ST, SUITE 1C, NEW YORK, NY 10023-3329
(212) 496-5555
(212) 496-5555
Mailing address
166 W 72ND ST, SUITE 1C, NEW YORK, NY 10023-3329
(212) 496-5555
(212) 496-5555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
025463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01588449
—
NY
Enumeration date
02/14/2006
Last updated
07/08/2007
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