Individual
ALICE S STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 E 77TH ST, NEW YORK, NY 10021-2059
(212) 249-4597
Mailing address
215 E 77TH ST, NEW YORK, NY 10021-2059
(212) 249-4597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RPOO389
NY
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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