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1023528833
CHARLES STEPHENS
MONROE, LA
NPI
1023528833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2017-10-06
Last Update Date
2022-09-14
Business Address
CHARLES STEPHENS
4308 S GRAND ST
MONROE, LA 71202-6322
Phone number: 318-282-2619
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Mailing Address
CHARLES STEPHENS
644 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-3862
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