Individual
KYLIE FAYE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 E PENNSYLVANIA AVE, TOWSON, MD 21286-5369
(410) 616-1834
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28634
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/19/2020
Last updated
06/03/2022
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