Individual
DAVID STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94 S MAIN ST, MIDDLEBORO, MA 02346-2123
(508) 947-6100
Mailing address
31 ALPINE RD, PLYMOUTH, MA 02360-1901
(919) 607-9701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12500
MA
1041C0700X
Clinical Social Worker
Primary
118058
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225067481
—
MA
Enumeration date
11/04/2014
Last updated
11/04/2014
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