Tara-Ellen Fournier, LICSW
NPI #1992853279 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1992853279
- Entity Type
- Individual
- Name
- Tara-Ellen Fournier, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 198 RUSSELL ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01609-2200
- Phone
- (508) 438-0110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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