Individual
MS. VERBA S FANOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
1170 CAREW ST, SPRINGFIELD, MA 01104-2055
(413) 750-2940
Mailing address
171 MAIN ST, WILBRAHAM, MA 01095-1634
(413) 348-8291
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
113974
MA
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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