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1215307236
DETDRA STEVENS
HARVEY, LA
NPI
1215307236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-02
Last Update Date
2018-05-31
Business Address
DETDRA STEVENS MHS
3865 TIMBERVIEW LN
HARVEY, LA 70058
Phone number: 504-281-3846
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Mailing Address
DETDRA STEVENS MHS
3865 TIMBERVIEW LN
HARVEY, LA 70058-2010
Phone number: 504-281-3846
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