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Individual

TASHA J LEWIS STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
777 S MAIN ST, SUITE 100, CLINTON, IN 47842-2493
(765) 828-1003
(765) 828-1030
Mailing address
PO BOX 344, CLINTON, IN 47842-0344
(765) 828-1003
(765) 828-1030

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34004589
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010158A
IN

Other

Enumeration date
05/12/2006
Last updated
07/17/2020
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