Provider Demographics
NPI:1659856458
Name:LAFORTUNE-FLIONIS, MARGOT ANNA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MARGOT
Middle Name:ANNA
Last Name:LAFORTUNE-FLIONIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 BUNKER HILL RD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-2275
Mailing Address - Country:US
Mailing Address - Phone:508-845-8565
Mailing Address - Fax:
Practice Address - Street 1:CAMERON MIDDLE SCHOOL
Practice Address - Street 2:215 ELM STREET
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701
Practice Address - Country:US
Practice Address - Phone:508-879-2289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1030382-SW-LICSW103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy