Individual
MS. ANDREA J. FISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
40A CENTER ST, NORTHAMPTON, MA 01060-3005
(413) 586-8577
Mailing address
58 FORT ST, NORTHAMPTON, MA 01060-4255
(413) 586-8577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111949
MA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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