Individual
MRS. CHARLOTTE TIFFANY STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
637 WASHINGTON STREET, CODMAN SQUARE HEALTH CENTER, DORCHESTER, MA 02124
(617) 822-8303
(617) 288-7898
Mailing address
637 WASHINGTON STREET, CODMAN SQUARE HEALTH CENTER, DORCHESTER, MA 02124
(617) 822-8303
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2649
MA
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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