Individual
STACEY GARVIN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 POLLARD RD, ASHLAND, KY 41101-2575
(606) 922-2699
Mailing address
2311 POLLARD RD, ASHLAND, KY 41101-2575
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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