MR. Jephte Fanor
NPI #1033328893 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1033328893
- Entity Type
- Individual
- Name
- MR. Jephte Fanor
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 317 BLUE HILL AVE
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02121-4302
- Phone
- (617) 427-4470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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