Sandra Anne Fallon, LICSW

NPI #1194065110 in Southbridge, Massachusetts

Provider Information

NPI Number
1194065110
Entity Type
Individual
Name
Sandra Anne Fallon, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Feb 28, 2013
Last Updated
Feb 28, 2013

Practice Location

Address
29 PINE ST
ZIP Code
01550-1823
Phone
(508) 765-9761

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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