Individual
STEPHANIE BANDOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 FOWLER ST, RANDOLPH, MA 02368-3501
(786) 768-7364
Mailing address
32 FOWLER ST, RANDOLPH, MA 02368-3501
(786) 768-7364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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