Tara-ellen Fournier LICSW

NPI 1992853279 - Social Worker - 1041C0700X

NPI Details
NPI 1992853279
Gender Female
Enumeration Date 01/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
198 RUSSELL ST
WORCESTER MA, 01609-2200, US
Phone (508) 438-0110
Fax
Business Location
67 LAUREL HILL LN
HOLDEN MA, 01520-1619, US
Phone (508) 829-4190
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 112256
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According to our database, Tara-ellen Fournier LICSW NPI is 1992853279, taxonomy code is 1041C0700X and license number is 112256, license state is located at Massachusetts. Tara-ellen Fournier LICSW physically located at 198 Russell St, Worcester MA, 01609-2200. NPI Number Tara-ellen Fournier LICSW has the Individual type.

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1992853279 NPI number is provided on an as is basis without warranty of any kind. 1992853279 is maintained by the National Plan & Provider Enumeration System. The contents of Tara-ellen Fournier LICSW are for informational purposes only.