MRS. STACEY LEAH DUTRA MSW NPI 1760909733

NPI Information

MRS. Stacey Leah Dutra, MSW is a counselor in Nantucket, MA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Stacey Leah Dutra, MSW NPI is 1760909733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 VESPER LN
NANTUCKET, MA
ZIP 02554-394
Phone: (508) 228-2689
Fax: (508) 228-3613

The enumeration date for this NPI number is 8/29/2017 and was last updated on 8/29/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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