Individual
JULIA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4130 LINDELL BLVD, SAINT LOUIS, MO 63108-2914
(314) 749-0716
Mailing address
5885 NINA PL APT 2W, SAINT LOUIS, MO 63112-1538
(314) 749-0716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2014029688
MO
1041C0700X
Clinical Social Worker
Primary
2017041047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490049131
—
MO
Enumeration date
07/14/2017
Last updated
07/21/2022
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