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Individual

MS. JUDITH W STEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED LADC

Contact information

Practice address
800 W CUMMINGS PARK, WOBURN, MA 01801-6372
(781) 935-3025
Mailing address
11C S COMMONS, LINCOLN, MA 01773-1114
(781) 259-1644

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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