Individual
JUSTINE ELYSE STOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14 PORTER ST, EAST BOSTON, MA 02128-2116
(617) 569-3189
(617) 569-7890
Mailing address
49 GLEASONDALE RD, STOW, MA 01775-1316
(978) 897-7796
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1030736
MA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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