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NPI Profile for DESIREE B STEPHENS in ATLANTA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Religious Nonmedical Practitioner |
374K00000X |
| NPI Number | 1164017455 |
|
| Status | Active | |
| Credentials | PASTOR | |
| Entity | Individual | |
| Enumeration date | 03/08/2021 | |
| Last updated | 03/08/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DESIREE B STEPHENS
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DESIREE B STEPHENS, PASTOR