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NPI Code Detail

MEDICARE: MRS. STEPHANIE KITCHEN STERLING M.S.W., L.C.S.W.

MEDICARE: MRS. STEPHANIE KITCHEN STERLING M.S.W., L.C.S.W.
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
11041C0700XClinical Social Worker4553LA

General Provider Information

NPI Number : 1336289214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE KITCHEN STERLING M.S.W., L.C.S.W.
Provider Business Mailing Address
First Line : 1900 S ACADIAN THRUWAY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-1665
Country : US
Telephone Number : 225-336-8708
Fax Number : 225-336-8703
Provider Business Practice Location Address
First Line : 1900 S ACADIAN THRUWAY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-1665
Country : US
Telephone Number : 225-336-8708
Fax Number : 225-336-8703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 04/04/2012

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