Stephanie Anne Pagano
Social Worker, Clinical in Brockton, MA. Individual provider (NPI-1).
NPI number1669908091
StatusActive
Last updated in NPPESMay 4, 2017
Details
- NPI
- 1669908091
- Entity type
- Individual (NPI-1)
- Name
- Miss Stephanie Anne Pagano
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2017
- Last updated
- May 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1115 W Chestnut St Ste 101Brockton, MA 02301-7501
Phone 508-521-2200
Mailing address
561 Marl RdColts Neck, NJ 07722-1380
Phone 732-546-8363
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