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MS. JANET LEE STEVENS M.S.W.

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1255611067

Individual Registrant:
MS. JANET LEE STEVENS M.S.W.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
75 DIAMOND VALLEY RD UNIT C  MARKLEEVILLE, CA 96120-9579 US
Tel: 530-694-1816  Fax: --

Contact information for business:
PO BOX 16491  SOUTH LAKE TAHOE, CA 96151-6491 US
Tel: 949-910-5815  Fax: --

Registration Information:
NPI: 1255611067
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N104100000XBehavioral Health & Social Service Providers
Social Worker
NV6549-S
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
CA76144

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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