Individual
LAURIE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 JANEES WAY, MIDLAND, GA 31820-5172
(706) 610-9451
Mailing address
35 JANEE'S WAY, MIDLAND, GA 31820
(706) 610-9451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW003673
GA
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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