Individual
MRS. MICHELA ROSE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3665 N BROADWAY ST, CHICAGO, IL 60613-4567
(773) 496-4433
Mailing address
401 E ONTARIO ST APT 2302, CHICAGO, IL 60611-7179
(508) 397-1090
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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