Individual
MRS. STACY BIERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
541 MAIN STREET, SUITE 103, SOUTH WEYMOUTH, MA 02190
(781) 331-9600
Mailing address
34 GAS LIGHT DR, #10, SOUTH WEYMOUTH, MA 02190-2235
(781) 337-5814
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15958
MA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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