Individual
KAHDEJAH EVONNE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAMS
Contact information
Practice address
6094 APPLE TREE DR, MEMPHIS, TN 38115-0308
(901) 734-5008
Mailing address
6094 APPLE TREE DR, MEMPHIS, TN 38115-0308
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
1744R1102X
Research Study Specialist
Primary
—
—
174H00000X
Health Educator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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