Individual
MRS. JENNIFER ANN STAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CAGS
Contact information
Practice address
17 NEW SOUTH ST, SUITE 116, NORTHAMPTON, MA 01060-4073
(413) 582-0472
Mailing address
17 NEW SOUTH ST, SUITE 116, NORTHAMPTON, MA 01060-4073
(413) 582-0472
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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