Individual
MARY ANNE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LADC, LICSW
Contact information
Practice address
1400 JEFFERSON RD, NORTHFIELD, MN 55057-3081
(507) 663-9000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302146
MN
1041C0700X
Clinical Social Worker
Primary
14895
MN
Other
Enumeration date
08/15/2013
Last updated
07/21/2022
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