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Individual

DOROTHY STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDCA.040368

Contact information

Practice address
30800 CHAGRIN BLVD, CLEVELAND, OH 44124-5925
(216) 591-0324
Mailing address
30800 CHAGRIN BLVD, CLEVELAND, OH 44124-5925
(216) 591-0324

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA040368
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2374229
OH
Enumeration date
03/02/2015
Last updated
03/02/2015
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