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1124238415
DOUGLAS FORESTA
CHICOPEE, MA
NPI
1124238415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 116690)
Enumeration Date
2007-05-23
Last Update Date
2011-12-30
Business Address
-- DOUGLAS FORESTA LICSW
71 MARY ST
CHICOPEE, MA 01020-1139
Phone number: 413-737-9544
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Mailing Address
-- DOUGLAS FORESTA LICSW
90 WALNUT ST #2R
CHICOPEE, MA 01020-1857
Phone number: 413-883-5518
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