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1497992556
SUSAN FORTGANG
NORTHAMPTON, MA
NPI
1497992556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 884433970)
Enumeration Date
2009-01-12
Last Update Date
2009-01-12
Business Address
Dr. SUSAN FORTGANG P.H.D.
34 HARRISON AVE
NORTHAMPTON, MA 01060-2911
Phone number: 413-586-0619
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Mailing Address
Dr. SUSAN FORTGANG P.H.D.
34 HARRISON AVE
NORTHAMPTON, MA 01060-2911
Phone number: 413-586-0619
Copy
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