Provider Demographics
NPI:1689664914
Name:FISHER, ANN M (MSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:FISHER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-1022
Mailing Address - Country:US
Mailing Address - Phone:781-938-8585
Mailing Address - Fax:781-938-1106
Practice Address - Street 1:36 COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1022
Practice Address - Country:US
Practice Address - Phone:781-938-8585
Practice Address - Fax:781-938-1106
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1056091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical