Individual
MR. MIKEL LEE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7274
Mailing address
9423 N MALVERN RD, NEWMAN LAKE, WA 99025-9432
(509) 226-0427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00007100
WA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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