Provider Information for 1801400973
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CLAUDIA LEE STEPHENS LCSW; PSC;
Sex: Female
NPI: 1801400973
Last Updated: 2020-09-04
Certification Date: 2020-09-04
Certification Date: 2020-09-04
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801400973 | ||||||||||||||
| Enumeration Date | 2020-09-04 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 1700 CHARLOTTSVILLE DR ENNIS, TX 75119-2104 United States Phone: 972-965-2367 | Fax: | ||||||||||||||
| Primary Practice Address | 1700 CHARLOTTSVILLE DR ENNIS, TX 75119-2104 United States Phone: 972-965-2367 | Fax: | ||||||||||||||
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