Individual
MS. ANGEL STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9015 HIGHWAY 30 E, JACKSON, KY 41339-7924
(606) 568-8553
Mailing address
9015 HIGHWAY 30 E, JACKSON, KY 41339-7924
(606) 568-8553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2825
KY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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