| Doctor Name: | MISS STEPHANIE BERNARDEZ JACQUES |
| NPI Number: | 1336402635 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | |
| Business Practice Address: | 76 Church St Suite 301 Whitinsville, MA - 015881464 |
| Business Phone Number: | 5084885069 |
| Business Fax Number: | |
| Mailing Address: | 118 Long Pond Rd, Suite 104 PLYMOUTH |
| State: | MA |
| Postal Code: | 023602662 |
| Phone Number: | 5087465632 |
| Fax Number: | |
| NPI Enumeration Date: | 06/21/2012 |
| NPI Last Update Date: | 06/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |