Individual
JAMAL STEPHON STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5016 BERGENLINE AVE UNIT 2, WEST NEW YORK, NJ 07093-5522
(609) 579-5592
Mailing address
5016 BERGENLINE AVE UNIT 2, WEST NEW YORK, NJ 07093-5522
(609) 579-5592
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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