Individual
CALA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
33 PRINCE ANTHONY LN, PALM COAST, FL 32164-7163
(386) 237-2114
Mailing address
33 PRINCE ANTHONY LN, PALM COAST, FL 32164-7163
(386) 237-2114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
15485
FL
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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