Individual
MRS. SUSAN M FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 737-1426
Mailing address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 737-1426
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
281512
MA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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