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Individual
STEPHANIE J. ABATE
Active
Individual
STEPHANIE J. ABATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
03085
ME
1041C0700X
Clinical Social Worker
Primary
113923
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000192301
MEDICARE PTAN MASSACHUSETTS
MA
01
—
03085
LICENSE NUMBER
ME
01
—
113923
LICENSE NUMBER
MA
Enumeration date
08/27/2006
Last updated
12/11/2013
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