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Individual
MS. JUDITH W STEIN
Active
Individual
MS. JUDITH W STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1637
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104902048
—
MA
Enumeration date
03/01/2010
Last updated
03/01/2010
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