Provider Information for 1780320218
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CAROLYN STEPHENS LPC, ACS
Sex: Female
NPI: 1780320218
Last Updated: 2023-06-15
Certification Date: 2023-06-15
Certification Date: 2023-06-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1780320218 | ||||||||
| Enumeration Date | 2022-05-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 25 E SHORE RD LAKE HOPATCONG, NJ 07849-1770 United States Phone: 908-692-8542 | Fax: | ||||||||
| Primary Practice Address | 25 E SHORE RD LAKE HOPATCONG, NJ 07849-1770 United States Phone: 908-692-8542 | Fax: | ||||||||
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