Individual
ANGELA MARIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
(315) 471-2531
Mailing address
PO BOX 114, JORDAN, NY 13080-0114
(315) 706-4802
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113051-01
NY
Other
Enumeration date
03/29/2024
Last updated
04/02/2024
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