Individual
LORETTA M STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC QMHP
Contact information
Practice address
16342 N IL HWY 37, MT VERNON, IL 62862
(618) 242-1510
(618) 242-0958
Mailing address
PO BOX 428, MT VERNON, IL 62864
(618) 242-1510
(618) 242-0958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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