Individual
STACIE LYNN MANDEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLD
Contact information
Practice address
168 THOMPSON PIKE, DAYVILLE, CT 06241-1116
(860) 774-7725
(860) 774-7725
Mailing address
168 THOMPSON PIKE, DAYVILLE, CT 06241-1116
(860) 774-7725
(860) 774-7725
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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