Individual
AUTUMN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 VIA EL PRADO STE 204, REDONDO BEACH, CA 90277-5721
(310) 920-1817
Mailing address
920 10TH ST, HERMOSA BEACH, CA 90254-4339
(310) 920-1817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125788
CA
Other
Enumeration date
05/13/2020
Last updated
10/01/2024
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