Individual
STACY M BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
61 MEDFORD ST., SOMERVILLE, MA 02143
(617) 629-3919
(617) 629-4644
Mailing address
61 MEDFORD ST., SOMERVILLE, MA 02143
(617) 629-3919
(617) 629-4644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
215035
MA
Other
Enumeration date
11/08/2007
Last updated
11/18/2010
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