Individual
ANDREA SUSANA STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1341 E PALM AVE, REDLANDS, CA 92374-5432
(909) 240-4142
(909) 793-3551
Mailing address
1341 E PALM AVE, REDLANDS, CA 92374-5432
(909) 240-4142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW94711
CA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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