| NPI | 1871653188 |
|---|---|
| Former Name | ANNE G STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 101615) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801069835) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |