Individual
MS. CHARLENE LUELLEN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1576 PECK ST, MUSKEGON, MI 49441-2547
(231) 727-2901
Mailing address
205 N LINDEN AVE, FREMONT, MI 49412-1031
(231) 652-0393
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801082825
MI
1041C0700X
Clinical Social Worker
Primary
6801082825
MI
Other
Enumeration date
02/27/2008
Last updated
10/05/2010
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