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1235352485
DERRICK L STEVENSON
SHREVEPORT, LA
NPI
1235352485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-04-10
Last Update Date
2010-09-23
Business Address
Dr. DERRICK L STEVENSON LCSW
8924 JEWELLA AVE
SHREVEPORT, LA 71118-2117
Phone number: 318-688-2525
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Mailing Address
Dr. DERRICK L STEVENSON LCSW
12117 PROVIDENCE RD
SHREVEPORT, LA 71129-8521
Phone number: 318-688-2525
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