Provider Demographics
NPI:1952326084
Name:FURTADO, KIRA P (LICSW)
Entity Type:Individual
Prefix:MS
First Name:KIRA
Middle Name:P
Last Name:FURTADO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:201 CHELMSFORD ST
Mailing Address - Street 2:FAMV
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2359
Mailing Address - Country:US
Mailing Address - Phone:978-256-1467
Mailing Address - Fax:978-256-7465
Practice Address - Street 1:201 CHELMSFORD ST
Practice Address - Street 2:FAMV
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2359
Practice Address - Country:US
Practice Address - Phone:978-256-1467
Practice Address - Fax:978-256-7465
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1116691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical