Individual
MR. JOSEPH ANTHONY LISENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2155 MAIN STREET, GANDARA CENTER, SPRINGFIELD, MA 01105
(413) 736-0395
Mailing address
104 A NORTH MAIN STREET, SOUTH DEERFIELD, MA 01373
(413) 665-4019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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