Individual
DANIELLE JO STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
104 SALUDA POINTE DR, LEXINGTON, SC 29072
(803) 865-4973
Mailing address
261 BUSNIESS PARK BLVD APT # 331, COLUMBIA, SC 29203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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