Individual
DOUGLAS FORESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
71 MARY ST, CHICOPEE, MA 01020-1139
(413) 737-9544
Mailing address
90 WALNUT ST, #2R, CHICOPEE, MA 01020-1857
(413) 883-5518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116690
MA
Other
Enumeration date
05/23/2007
Last updated
12/30/2011
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