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Zenda Stephenson

Marriage & Family Therapist in Bloomington, IN. Individual provider (NPI-1).

NPI number1982186565
StatusActive
Last updated in NPPESJun 7, 2024

Details

NPI
1982186565
Entity type
Individual (NPI-1)
Name
Zenda Stephenson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2018
Certification date
Jun 7, 2024
Last updated
Jun 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist290174KYYes

Practice location

645 S Rogers St
Bloomington, IN 47403-2353

Phone 812-339-1691

Mailing address

645 S Rogers St
Bloomington, IN 47403-2353

Phone 812-339-1691

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