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MS. SUE ELLEN DUFFY LICSW

Behavioral Health & Social Service Providers Social Worker

Provider NPI: 1821326364

Provider Information:
MS. SUE ELLEN DUFFY LICSW
Gender: M
Sole Proprietor

Practice Location:
138 WEBSTER ST  MANCHESTER, NH 03104-2512 US
Tel: 603-647-5977  Fax: 603-645-5980

Business Mailing Address:
PO BOX 3300  MANCHESTER, NH 03105-3300 US
Tel: 603-645-5977  Fax: 603-645-5980

NPI Information:
NPI: 1821326364
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
NH1211

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 104100000X

Type:

Classification:



Definition:



MEDICAL JOBS NH - Page 1

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