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Individual

MRS. MAGARET HOWARD STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
10 CENTENNIAL DR STE 104, PEABODY, MA 01960-2298
(978) 535-1110
(978) 535-2907
Mailing address
10 CENTENNIAL DR STE 104, PEABODY, MA 01960-2298
(978) 535-1110
(978) 535-2907

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3351
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01030853
ACADEMY OF NUTRITION AND DIETETICS
01
3351
COMMONWEALTH OF MASSACHUSETTS, DIVISION OF PROFESSIONAL LICENSURE, BOARD OF DIET
MA
Enumeration date
10/05/2012
Last updated
06/04/2019
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