Individual
CARIE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 CUMBERLAND DR, PRINCETON, KY 42445-1211
(270) 601-0636
Mailing address
105 CUMBERLAND DR, PRINCETON, KY 42445-1211
(270) 601-0636
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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