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1114562865
CRAIG VINCENT STEVENS
PALM SPRINGS, FL
NPI
1114562865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL ADC-010912-2015)
Enumeration Date
2019-11-15
Last Update Date
2019-11-15
Business Address
CRAIG VINCENT STEVENS
4020 LAKE WORTH RD
PALM SPRINGS, FL 33461-3918
Phone number: 561-444-3512
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Mailing Address
CRAIG VINCENT STEVENS
4020 LAKE WORTH RD
PALM SPRINGS, FL 33461-3918
Phone number:
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