Individual
MR. DANIEL FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
3400 MAIN ST, SPRINGFIELD, MA 01199-1003
(413) 794-0000
Mailing address
29 RIVERWALK DR, WEATOGUE, CT 06089-9624
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
128242037
CT
Other
Enumeration date
03/06/2016
Last updated
03/06/2016
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