Douglas Foresta, LICSW

NPI #1124238415 in Chicopee, Massachusetts

Provider Information

NPI Number: 1124238415
Entity Type: Individual
Name: Douglas Foresta, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: May 23, 2007
Last Updated: Dec 30, 2011

Practice Location

Address: 71 MARY ST
City: Chicopee
State: Massachusetts
ZIP Code: 01020-1139
Phone: (413) 737-9544

Specialties & Taxonomy Codes

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

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