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1104981869
STACY ANNE ROE
GREENFIELD, MA
NPI
1104981869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MA 2872)
Enumeration Date
2006-12-23
Last Update Date
2007-07-08
Business Address
MS. STACY ANNE ROE COTAL
95 LAUREL ST
GREENFIELD, MA 01301-3106
Phone number: 413-774-3415
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Mailing Address
MS. STACY ANNE ROE COTAL
79 MONTAGUE CITY RD
GREENFIELD, MA 01301-3906
Phone number: 413-774-4240
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