EDEN STOVALL

APO, AP
NPI1144572967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
Additional Taxonomies1041C0700X Social Worker Clinical
(Licence: MO  2011019545)
Enumeration Date2012-10-03
Last Update Date2024-02-28
Business Address
EDEN STOVALL LCSW
18TH MEDICAL GROUP UNIT 5142
APO, AP 96368-5142
Phone number: 315-634-7190
Mailing Address
EDEN STOVALL LCSW
UNIT 5142
APO, AP 96368-5142
Phone number: