Individual
DENISE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 COUNTY ROUTE 46, FORT EDWARD, NY 12828-4314
(518) 638-8394
Mailing address
1026 COUNTY ROUTE 46, FORT EDWARD, NY 12828-4314
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
900713991
NY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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