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1902023252
KENNETH J STEPHENSON
INDIAN TRAIL, NC
NPI
1902023252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NC 4811)
Enumeration Date
2007-04-19
Last Update Date
2011-11-01
Business Address
KENNETH J STEPHENSON LPC
4389 INDIAN TRAIL FAIRVIEW RD STE 23
INDIAN TRAIL, NC 28079-9649
Phone number: 704-526-9905
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Mailing Address
KENNETH J STEPHENSON LPC
200 DUTCHMANS MEADOW DR
MOUNT HOLLY, NC 28120-3004
Phone number: 704-951-0055
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