Individual
STEPHANIE EDOUAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 CENTRAL ST FL 4, SOMERVILLE, MA 02143-2827
(617) 591-6077
(617) 591-6015
Mailing address
26 CENTRAL ST FL 4, SOMERVILLE, MA 02143-2827
(617) 591-6077
(617) 591-6015
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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