MR. Robert J. Fettig, LICSW

NPI #1013132497 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1013132497
Entity Type: Individual
Name: MR. Robert J. Fettig, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Apr 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 180 MORTON ST
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-3735
Phone: (617) 626-9553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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