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Individual

MS. CARLA JANE STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
7 HIGHWOOD STREET, WATERVILLE, ME 04901
(207) 873-0705
Mailing address
365 QUAKER RD, SIDNEY, ME 04330-2306
(207) 215-3019

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OA1795
ME

Other

Enumeration date
12/24/2009
Last updated
12/24/2009
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