Individual
STEPHANIE HABURA COFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 523-7900
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
SP-1078-AU
MA
Other
Enumeration date
10/05/2015
Last updated
03/17/2021
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