Individual
MRS. JENNIFER GRACE STEVENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6755
Mailing address
26 ELM ST, WINFIELD, WV 25213-9376
(304) 586-2364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0427
WV
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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