Individual
DIANE FOUGERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
435 SHREWSBURY ST, WORCESTER, MA 01604-1689
(508) 753-5554
(508) 752-7245
Mailing address
202 RUSSELL ST, SUITE 103, WORCESTER, MA 01609-2265
(508) 797-7128
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105459
MA
Other
Enumeration date
02/28/2007
Last updated
06/17/2021
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