Individual
STACEY MICHELLE PARADISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 PURCHASE STREET, NEW BEDFORD, MA 02740
(508) 992-1500
Mailing address
70 LANE ST, FALL RIVER, MA 02721-3644
(508) 974-6025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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