PHYLLIS ELLEN STEVENS

PORT CHARLOTTE, FL
NPI1518033778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH5261)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
Ms. PHYLLIS ELLEN STEVENS
20020 VETERANS BLVD UNIT 2
PORT CHARLOTTE, FL 33954-2112
Phone number: 941-764-9241
Mailing Address
Ms. PHYLLIS ELLEN STEVENS
19305 WATER OAK DR SUITE 106
PORT CHARLOTTE, FL 33948-3154
Phone number: 941-764-9241
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