SearchMassachusetts101YA0400X

Stacey Borden, M.ED., LADC-1

NPI 1992292361 · on the registry since 2018 · sole proprietor

Practice

Address
22 Drydock Ave Fl 3
Boston, MA 02210
Phone
(857) 237-2780
Fax
(617) 507-6176

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts