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1811269855
FRED WESLEY STEPHENS
SANTA ROSA, CA
NPI
1811269855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 15758)
Enumeration Date
2012-02-07
Last Update Date
2012-02-07
Business Address
Mr. FRED WESLEY STEPHENS L.C.S.W.
144 STONY POINT RD
SANTA ROSA, CA 95401-4122
Phone number: 707-521-4502
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Mailing Address
Mr. FRED WESLEY STEPHENS L.C.S.W.
7754A HEALDSBURG AVE
SEBASTOPOL, CA 95472-3352
Phone number: 707-823-3201
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