Individual
MR. FRED LEWIS STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
679B EMORY VALLEY RD, OAK RIDGE, TN 37830-7756
(865) 383-0062
Mailing address
1143 OAK RIDGE TPKE STE 107B, STE 107B, PMB 274, OAK RIDGE, TN 37830-6422
(865) 383-0062
(865) 280-3816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000006209
TN
Other
Enumeration date
09/01/2010
Last updated
12/08/2023
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