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Behavioral Health & Social Service Providers Social Worker

Provider NPI: 1669615811

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
64 MAIN ST  KEENE, NH 03431-3701 US
Tel: 603-283-1699  Fax: --

Business Mailing Address:
324 WATER ST  KEENE, NH 03431-4248 US
Tel: 603-358-5057  Fax: --

NPI Information:
NPI: 1669615811
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 104100000X





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