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Individual

STEPHEN THOMAS LESIEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
106 BEE ST., CHARLESTON, SC 29401-5799
(843) 789-7620
Mailing address
1255 COLFAX CT, MOUNT PLEASANT, SC 29466-7971
(843) 849-1149

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
85776
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3697
SC

Other

Enumeration date
01/02/2009
Last updated
01/02/2009
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