Individual
MS. MARIA ANTIONETTE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2821 N 4TH ST, MILWAUKEE, WI 53212-2362
(414) 372-3909
Mailing address
2636 N 50TH ST, MILWAUKEE, WI 53210-2303
(414) 445-3927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5270120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40914900
—
WI
Enumeration date
02/16/2007
Last updated
06/26/2015
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