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NPI Code Detail

MEDICARE: SARAH GRACE STEVENSON

MEDICARE:   SARAH GRACE STEVENSON
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
1106H00000XMarriage & Family TherapistA-343AL

General Provider Information

NPI Number : 1134988439
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH GRACE STEVENSON
Provider Business Mailing Address
First Line : 1037 22ND ST S STE 208
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-2831
Country : US
Telephone Number : 205-502-4071
Fax Number :
Provider Business Practice Location Address
First Line : 1037 22ND ST S STE 208
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-2831
Country : US
Telephone Number : 205-502-4071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/18/2024

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Directions to “ SARAH GRACE STEVENSON ” Practice Location

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