Individual
JENNIFER LOUISE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
237 MAIN STREET, WATERVILLE, ME 04901
(207) 861-1290
(207) 660-4754
Mailing address
P.O. BOX 304, NORTH VASSALBORO, ME 04962
(207) 861-1290
(207) 660-4754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13202
ME
1041C0700X
Clinical Social Worker
MC12105
ME
Other
Enumeration date
06/22/2009
Last updated
08/29/2011
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