Individual
MRS. MARISA LEIGH FANEUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW/LMHC
Contact information
Practice address
314 PENDLETON AVE, CHICOPEE, MA 01020-2135
(413) 594-3527
Mailing address
18 RED GAP RD, WILBRAHAM, MA 01095-2357
(413) 654-7151
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
541076
MA
1041S0200X
School Social Worker
541076
MA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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