Individual
MRS. JODY LYNN STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW CC
Contact information
Practice address
970 ILLINOIS AVE, BANGOR, ME 04401-2722
(207) 945-4240
(207) 990-3660
Mailing address
PO BOX 936, BANGOR, ME 04402-0936
(207) 945-4240
(207) 990-3660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC7155
ME
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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