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1922620814
AUTUMN STEPHENS
REDONDO BEACH, CA
NPI
1922620814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 125788)
Enumeration Date
2020-05-13
Last Update Date
2024-10-01
Business Address
AUTUMN STEPHENS
1711 VIA EL PRADO STE 204
REDONDO BEACH, CA 90277-5721
Phone number: 310-920-1817
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Mailing Address
AUTUMN STEPHENS
920 10TH ST
HERMOSA BEACH, CA 90254-4339
Phone number: 310-920-1817
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