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1386225217
ADAM CLAY STEPHENSON
LAVALETTE, WV
NPI
1386225217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
ADAM CLAY STEPHENSON
4757 ROUTE 152 STE 2
LAVALETTE, WV 25535-9638
Phone number: 304-522-1945
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Mailing Address
ADAM CLAY STEPHENSON
4757 ROUTE 152 STE 2
LAVALETTE, WV 25535-9638
Phone number: 304-522-1945
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