Individual
SHIRLEY STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
565 N CHURCH ST, MOORESTOWN, NJ 08057-1749
(856) 722-6775
Mailing address
565 N CHURCH ST, MOORESTOWN, NJ 08057-1749
(856) 722-6775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00303900
NJ
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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