Individual
CHARLY STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
145 W GREEN MEADOWS DR, GREENFIELD, IN 46140-4001
(317) 318-7100
Mailing address
145 W GREEN MEADOWS DR, GREENFIELD, IN 46140-4001
(317) 318-7100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008880A
IN
Other
Enumeration date
07/16/2020
Last updated
11/30/2020
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