Individual
CAMILLE M STOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 RIVERSIDE AVE APT 1, MEDFORD, MA 02155-5725
(781) 866-2600
Mailing address
299 RIVERSIDE AVE APT 1, MEDFORD, MA 02155-5725
(781) 866-2600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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