Individual
AMY L. STEPHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2305 MEADE AVE # 3, SAN DIEGO, CA 92116-4113
(619) 806-6238
Mailing address
2220 CAMINO DE LA REINA, UNIT 114, SAN DIEGO, CA 92108-5527
(619) 806-6238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS21155
CA
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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