Individual
STEPHANIE DEMOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSTOM LAC
Contact information
Practice address
1 KIRBY RD, WASHINGTON, CT 06793
(732) 330-6211
Mailing address
61 MOOSEHORN RD, ROXBURY, CT 06783-1106
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000808
CT
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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