Roberta Cole Fortgang, MSW
Social Worker, Clinical in Newton, MA. Individual provider (NPI-1).
NPI number1346257599
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346257599
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Roberta Cole Fortgang
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1016688 | MA | Yes |
Practice location
50 Solon StNewton, MA 02461-1827
Phone 617-964-6822 · Fax 617-964-6822
Mailing address
50 Solon StNewton, MA 02461-1827
Phone 617-964-6822 · Fax 617-964-6822
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