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Individual

LAURA STASKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 WINTER ST, PEMBROKE, MA 02359-4965
(781) 887-5072
Mailing address
965 CHURCH ST, NEW BEDFORD, MA 02745-1400

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN259696
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN259696
MA

Other

Enumeration date
02/06/2023
Last updated
05/08/2025
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