Individual
MARIA STENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 747-0705
Mailing address
5800 S HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
(801) 272-9980
(801) 272-9976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2327287
MA
Other
Enumeration date
07/02/2015
Last updated
10/22/2018
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