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Individual

SHANNA LYNN STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3160 DIRECTORS ROW, MEMPHIS, TN 38131-0401
(901) 323-3600
(901) 323-3640
Mailing address
3160 DIRECTORS ROW, MEMPHIS, TN 38131-0401
(901) 323-3600
(901) 323-3640

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000003706
TN
101YP2500X
Professional Counselor
0000003706
TN

Other

Enumeration date
01/08/2018
Last updated
01/08/2018
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