Individual
COLLEEN ELIZABETH STEPHENS
Active
Individual
COLLEEN ELIZABETH STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW BCO
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095238
IA
1041C0700X
Clinical Social Worker
I0009689LISW
OH
Other
Enumeration date
11/23/2005
Last updated
05/03/2019
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