Individual
MS. ANN MARIE ROSSETTIE FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
317 N MAIN ST, NATICK, MA 01760-1115
(508) 872-1010
Mailing address
317 N MAIN ST, NATICK, MA 01760-1115
(508) 872-1010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111058
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042611055
TAX ID
MA
05
—
1303287
—
MA
01
—
703136
TUFTS
MA
01
—
M18633
BCBC
MA
Enumeration date
12/13/2006
Last updated
02/13/2022
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