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Individual

KIMBERLY J STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3333 E BROADWAY AVE STE 1203, BISMARCK, ND 58501-3371
(701) 934-1775
Mailing address
3333 E BROADWAY AVE STE 1203, BISMARCK, ND 58501-3371
(701) 934-1775

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
4058
ND
1041C0700X
Clinical Social Worker
Primary
4058
ND

Other

Enumeration date
01/06/2022
Last updated
05/29/2024
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