Individual
COLLEEN ELIZABETH STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW BCO
Contact information
Practice address
221 E STATE ST, CENTERVILLE, IA 52544-1813
(641) 856-6471
(641) 856-2603
Mailing address
550 POPE AVE, MUNSON ARMY HEALTH CENTER ATTN MCXN COD MS COTTON, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
(913) 684-6208
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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