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General NPI Number Information
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NPI Number | 1235561242
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Entity Type | Individual
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Provider Name | KATHRYN ANN STEPHENS M.A., LLPC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 2580 EATON RAPIDS RD
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City | LANSING
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State | MI
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Zip | 48911-6307
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Country | US
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Telephone | 517-394-5332
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Fax | 517-882-9969
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Provider Business Mailing Address
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Address Line | 2580 EATON RAPIDS RD
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City | LANSING
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State | MI
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Zip | 48911-6307
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Country | US
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Telephone | 517-394-5332
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Fax | 517-882-9969
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401013677
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License Number State | MI
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