Individual
JENNIFER STEPHENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
UPC JEFFERSON-RESEARCH, 2761 E JEFFERSON, DETROIT, MI 48207
(888) 362-7792
Mailing address
3800 WOODWARD AVE, SUITE 702, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
4703065560
MI
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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