Individual
MRS. STEPHANIE JEAN BAZINET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(508) 757-2658
Mailing address
52 HUDSON AVE, GRAFTON, MA 01519-1121
(508) 839-4950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5593
MA
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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