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1902368004
STEPHEN R. MONTEMBAULT
NEW BEDFORD, MA
NPI
1902368004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 1584)
Enumeration Date
2019-04-05
Last Update Date
2019-04-05
Business Address
Mr. STEPHEN R. MONTEMBAULT LADC1
33 S 6TH ST
NEW BEDFORD, MA 02740-5907
Phone number: 774-202-4820
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Mailing Address
Mr. STEPHEN R. MONTEMBAULT LADC1
72 KILBURN ST
NEW BEDFORD, MA 02740-7321
Phone number: 774-628-1001
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