Individual
TIMOTHY FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
248 BOSTON ST, TOPSFIELD, MA 01983-2221
(781) 941-0341
Mailing address
10 FAIRMOUNT ST, SALEM, MA 01970-1608
(781) 941-0341
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1171188
MA
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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