Individual
MS. JUDITH COURSEN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
147 DURHAM ROAD, MADISON, CT 06443-1262
(203) 245-8576
Mailing address
P.O. BOX 1262, MADISON, CT 06443
(203) 245-8576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001039
CT
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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