Individual
STEPHANIE MARY SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 HAWTHORNE ST, LAKEVILLE, MA 02347-2259
(508) 326-1864
Mailing address
4 HAWTHORNE ST, LAKEVILLE, MA 02347-2259
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH13644
MA
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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