Individual
JOSHUA MATHER STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 MARKET ST, LYNN, MA 01901-1125
(781) 593-7676
Mailing address
29 MARGERIE ST, HAVERHILL, MA 01830-1625
(978) 373-6180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S60354695
MA
Other
Enumeration date
04/25/2010
Last updated
04/25/2010
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