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NPI Code Detail

MEDICARE: MS. VALERIE KAY STEPHENS LCSW

MEDICARE: MS. VALERIE KAY STEPHENS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor13324635011UT

General Provider Information

NPI Number : 1013225168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VALERIE KAY STEPHENS LCSW
Provider Business Mailing Address
First Line : 1578 W 1700 S # SUE103
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84104-3470
Country : US
Telephone Number : 801-972-2711
Fax Number :
Provider Business Practice Location Address
First Line : 1578 W 1700 S # SUE103
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84104-3470
Country : US
Telephone Number : 801-972-2711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2010
Last Update Date : 09/22/2010

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