Kerry Rae Stephens, LCSW
NPI #1679146211 in Bloomington, Illinois
Provider Information
- NPI Number
- 1679146211
- Entity Type
- Individual
- Name
- Kerry Rae Stephens, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 21, 2021
- Last Updated
- Jul 21, 2021
Practice Location
- Address
- 1003 MARTIN LUTHER KING DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-1429
- Phone
- (888) 924-3786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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