Individual
MS. CHRISTINE FALLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
37 FRUIT ST, WORCESTER, MA 01609-2184
(508) 753-7434
Mailing address
78 RICH ST, WORCESTER, MA 01602-1263
(508) 756-1626
(508) 756-2080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1021965
MA
Other
Enumeration date
01/23/2007
Last updated
07/09/2007
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