Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 114359 | MA |
NPI | 1003137340 |
---|---|
Provider Name | Meghan C Foucher |
First Address | Acton, MA 01720-3743 |
Second Address | Acton, MA 01720-3743 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 22/06/2010 |