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Individual

MRS. STEPHANIE LYNN ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
100 ERDMAN WAY, LEOMINSTER, MA 01453-1804
(978) 840-9354
Mailing address
8A LOUIS DR, BROOKLINE, NH 03033-2532
(603) 672-4290

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
328033
MA

Other

Enumeration date
02/13/2009
Last updated
02/13/2009
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