Provider Demographics
NPI:1295973220
Name:STEPHENS, LEANN (MSW)
Entity type:Individual
Prefix:MRS
First Name:LEANN
Middle Name:
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4916 CENTER ST STE E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-2348
Mailing Address - Country:US
Mailing Address - Phone:253-565-7038
Mailing Address - Fax:
Practice Address - Street 1:4916 CENTER ST STE E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-2348
Practice Address - Country:US
Practice Address - Phone:253-565-7038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker