Individual
PATRICE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 GA HIGHWAY 178, GLENNVILLE, GA 30427-4628
(912) 237-5635
(912) 287-6689
Mailing address
538 GA HIGHWAY 178, GLENNVILLE, GA 30427-4628
(912) 237-5635
(912) 287-6689
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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