Charlene Curtis | |
109 Ponemah Rd Amherst NH 03031-2834 | |
(603) 672-0344 | |
(603) 672-0344 |
Full Name | Charlene Curtis |
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Speciality | Social Worker |
Location | 109 Ponemah Rd, Amherst, New Hampshire |
Authorized Official Name and Position | Charlene M Curtis (THERAPIST) |
Authorized Official Contact | 6036720344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Charlene Curtis 109 Ponemah Road Suite 8 Amherst NH 03031 Ph: (603) 672-0344 | Charlene Curtis 109 Ponemah Rd Amherst NH 03031-2834 Ph: (603) 672-0344 |
NPI Number | 1689006330 |
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Provider Enumeration Date | 08/05/2013 |
Last Update Date | 08/05/2013 |
Medicare PECOS PAC ID | 9638312911 |
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Medicare Enrollment ID | O20130905000882 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689006330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1077 (New Hampshire) | Primary |
Provider Name | Charlene M Curtis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447203609 PECOS PAC ID: 1951382993 Enrollment ID: I20040526000849 |
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