Individual
STEPHEN KINZER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PLEASANT ST UNIT 2F, FITCHBURG, MA 01420-3217
(978) 602-4761
Mailing address
30 PLEASANT ST UNIT 2F, FITCHBURG, MA 01420-3217
(978) 602-4761
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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