Individual
CARISSA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SP/L
Contact information
Practice address
278 SORGHUM MILL RD, CAMDEN WYOMING, DE 19934-1935
(302) 697-3103
(302) 697-4998
Mailing address
278 SORGHUM MILL RD, CAMDEN WYOMING, DE 19934-1935
(302) 697-3103
(302) 697-4998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O4-0000255
DE
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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