Individual
MR. DARYL E. STEVENS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2415 CARRINGTON RD, EL PASO, TX 79916
(915) 412-0468
Mailing address
2415 CARRINGTON RD, FORT BLISS, TX 79916
(915) 742-9564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62370
—
TX
Enumeration date
12/05/2019
Last updated
02/25/2020
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