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Individual

DENA FACCHINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1132 WESTFIELD ST, WEST SPRINGFIELD, MA 01089-3878
(413) 592-1980
(413) 439-0096
Mailing address
555 RUSSELL RD, APT E-27, WESTFIELD, MA 01085-2151
(413) 572-4674

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1021143
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62-00206
EVERCARE
MA
Enumeration date
08/03/2006
Last updated
07/08/2007
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