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Individual

MS. KAREN L STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
42 CEDAR ST, BANGOR, ME 04402-0425
(207) 947-0366
Mailing address
P.O. BOX 425, 42 CEDAR ST, BANGOR, ME 04402-0425
(207) 564-2602

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4789
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
431614399
ME
Enumeration date
05/22/2007
Last updated
02/05/2016
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