Individual
MR. STEPHEN A CICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 CLARK ST, SALEM, MA 01970-1736
(978) 740-9776
Mailing address
16 CLARK ST, SALEM, MA 01970-1736
(978) 740-9776
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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