Individual
BARBARA STEPHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 MCNABB SHORTCUT ROAD, LORIS, SC 29569-7202
(843) 756-1403
(843) 756-4792
Mailing address
199 MCNABB SHORTCUT RD, LORIS, SC 29569-7201
(843) 756-1403
(843) 756-4792
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
221700000X
Art Therapist
—
—
225800000X
Recreation Therapist
Primary
—
—
225A00000X
Music Therapist
—
—
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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