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1700138351
PORTIA ROCHELLE STEVENSON
FRESNO, CA
NPI
1700138351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-05
Last Update Date
2012-10-05
Business Address
-- PORTIA ROCHELLE STEVENSON
3661 W SHIELDS AVE #125
FRESNO, CA 93722-6579
Phone number: 559-708-5570
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Mailing Address
-- PORTIA ROCHELLE STEVENSON
3661 W SHIELDS AVE #125
FRESNO, CA 93722-6579
Phone number: 559-708-5570
Copy
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