Individual
MICHELE LEE STACK SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 LINNELL CIR, BILLERICA, MA 01821-3928
(978) 528-8596
Mailing address
1 KENMAR DR, BILLERICA, MA 01821-4706
(617) 692-0802
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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