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Contact Information

DOMINIQUE STEVENSON
6800 RASBERRY LANE APT.1901
SHREVEPORT, LA71129
 Phone: 318-834-5287
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DOMINIQUE STEVENSON · (Female)

NPI # 1407381973
Status Active
Credentials
Entity Individual
Enumeration date 04/21/2017
Last updated 03/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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