Individual
TENECIA KEONNA STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 NW 182ND ST, MIAMI GARDENS, FL 33055-2923
(786) 859-5355
Mailing address
17524 NW 61ST CT N, HIALEAH, FL 33015-4546
(786) 859-5355
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
01/23/2023
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