MRS. Susan B Stason, LICSW

NPI #1992895767 in Tewksbury, Massachusetts

Provider Information

NPI Number: 1992895767
Entity Type: Individual
Name: MRS. Susan B Stason, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Oct 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1565 MAIN ST
Address 2: BLDG 2 SUITE 200
City: Tewksbury
State: Massachusetts
ZIP Code: 01876
Phone: (978) 851-5515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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