Individual
LORA DANIELLE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5187 US ROUTE 60, HUNTINGTON, WV 25705-0027
(304) 962-7211
Mailing address
5187 US ROUTE 60, HUNTINGTON, WV 25705-0027
(304) 962-7211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CP00943774
WV
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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