Individual
MISS STEPHANIE DESORCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Mailing address
764 BENEFIT ST, PAWTUCKET, RI 02861-1555
(401) 527-6461
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/15/2016
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