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1447301759
CHARLES STEVENS
SATELLITE BEACH, FL
NPI
1447301759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: FL PY4176)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
Dr. CHARLES STEVENS Psy.D.
1127 S PATRICK DR SUITE 24
SATELLITE BEACH, FL 32937-3939
Phone number: 321-773-1111
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Mailing Address
Dr. CHARLES STEVENS Psy.D.
2917 MONDAVI DR
ROCKLEDGE, FL 32955-5188
Phone number:
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