Intentional Self. LLC
NPI #1972924371 in Stoughton, Massachusetts
Provider Information
- NPI Number
- 1972924371
- Entity Type
- Organization
- Organization Name
- Intentional Self. LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 2, 2014
- Last Updated
- Jan 2, 2014
Practice Location
- Address
- 6 CABOT PL
- Address 2
- SUITE # 6
- City
- Stoughton
- State
- Massachusetts
- ZIP Code
- 02072-4625
- Phone
- (781) 767-0008
Authorized Official
- Name
- MS. SANDRA C RANGE, LMHC
- Title
- OWNER
- Phone
- (781) 767-0008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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