Individual
MS. STEPHANIE LYN CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
255 HIGHLAND AVE, NEEDHAM, MA 02494-3023
(781) 449-1884
Mailing address
255 HIGHLAND AVE, NEEDHAM, MA 02494-3023
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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