Individual
DOROTHY FUESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
120 MAPLE ST, SUITE 219, SPRINGFIELD, MA 01103-2203
(413) 737-3730
Mailing address
42 ARNOLD ST, #207, WESTFIELD, MA 01085-2873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
03/30/2007
Last updated
07/08/2007
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