Individual
SHANNON STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2000
Mailing address
25 DIGHTON ST APT 4, BRIGHTON, MA 02135-3229
(909) 645-8578
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
222300
MA
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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