Individual
COLLEEN STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 56TH ST NE, WASHINGTON, DC 20019-6744
(202) 758-3346
Mailing address
239 56TH ST NE, WASHINGTON, DC 20019-6744
(202) 758-3346
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
HHA12125
DC
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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