Jessica Anne Stanley LICSW

NPI 1346447182 - Social Worker - 1041C0700X

NPI Details
NPI 1346447182
Gender Female
Enumeration Date 06/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
52 CHARLTON ST
SOUTHBRIDGE MA, 01550-1910, US
Phone (508) 765-9101
Fax (508) 764-4389
Business Location
30 CAMP ST
PAXTON MA, 01612-1556, US
Phone (508) 755-4879
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 111798
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According to our database, Miss Jessica Anne Stanley LICSW NPI is 1346447182, taxonomy code is 1041C0700X and license number is 111798, license state is located at Massachusetts. Jessica Anne Stanley LICSW physically located at 52 Charlton St, Southbridge MA, 01550-1910. NPI Number Jessica Anne Stanley LICSW has the Individual type.

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1346447182 NPI number is provided on an as is basis without warranty of any kind. 1346447182 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Anne Stanley LICSW are for informational purposes only.