Individual
MICHELLE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 MCCLENDON CHURCH RD, WEST MONROE, LA 71292-8052
(318) 362-5815
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.200139
LA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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