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Stephanie Pichardo- De La Cruz

Developmental Therapist in Milford, MA. Individual provider (NPI-1).

NPI number1194498535
StatusActive
Last updated in NPPESJul 30, 2021

Details

NPI
1194498535
Entity type
Individual (NPI-1)
Name
Stephanie Pichardo- De La Cruz
Sex
Female
Sole proprietor
No
Enumeration date
Jul 30, 2021
Certification date
Jul 30, 2021
Last updated
Jul 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

321 Fortune Blvd
Milford, MA 01757-1750

Phone 508-634-0207

Mailing address

321 Fortune Blvd
Milford, MA 01757-1750

Phone 508-634-0207

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