| NPI | 1164666111 |
|---|---|
| Former Name | STEPHANIE NADEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14406) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC6393) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2020-01-02 |