Individual
DANA STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
536 GRAND SLAM DR, EVANS, GA 30809-8044
(706) 854-8434
Mailing address
122 GINKGO LN, GROVETOWN, GA 30813-5392
(803) 271-2852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4450
SC
235Z00000X
Speech-Language Pathologist
Primary
SLP007503
GA
Other
Enumeration date
05/05/2010
Last updated
03/25/2013
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