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Individual

DR. FREDERICK LECOMPTE STEVENS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1401 SE GOLDTREE DR, SUITE 104, PORT ST LUCIE, FL 34952-7584
(772) 398-4377
(772) 905-8526
Mailing address
1401 SE GOLDTREE DR, SUITE 104, PORT ST LUCIE, FL 34952-7584
(772) 398-4377
(772) 905-8526

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4177
FL

Other

Enumeration date
08/11/2005
Last updated
05/23/2012
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