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Individual

DR. GEORGE THEODORE STEGEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, LP

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(989) 953-5300
Mailing address
4531 KENILWORTH ST, FORT WAYNE, IN 46806-4615
(260) 434-1294

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013917
MI
103TC1900X
Counseling Psychologist
6301013917
MI

Other

Enumeration date
06/15/2007
Last updated
10/20/2023
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