Individual
STEPHANIE BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 ACORN CIR, POCOMOKE CITY, MD 21851-9592
(410) 430-8240
Mailing address
915 ACORN CIR, POCOMOKE CITY, MD 21851-9592
(410) 430-8240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6926
MD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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