Jacqueline Ivana Stevens, LMSW

NPI #1033972500 in Bridgeport, Connecticut

Provider Information

NPI Number: 1033972500
Entity Type: Individual
Name: Jacqueline Ivana Stevens, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Feb 6, 2024
Last Updated: Feb 6, 2024

Practice Location

Address: 954 BIRMINGHAM ST
City: Bridgeport
State: Connecticut
ZIP Code: 06606-3203
Phone: (203) 682-5278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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