| Emthibodeau, Licsw, Llc | |
|
330 New Durham Rd Alton NH 03809-4923 | |
| (603) 941-4878 | |
| (603) 941-0410 |
| Full Name | Emthibodeau, Licsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 330 New Durham Rd, Alton, New Hampshire |
| Authorized Official Name and Position | Estelle M Thibodeau (OWNER) |
| Authorized Official Contact | 6039414878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emthibodeau, Licsw, Llc 330 New Durham Rd Alton NH 03809-4923 Ph: (603) 941-4878 | Emthibodeau, Licsw, Llc 330 New Durham Rd Alton NH 03809-4923 Ph: (603) 941-4878 |
| NPI Number | 1265757470 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265757470 | NPI | - | NPPES |
| 30424430 | Medicaid | NH | |
| 1750304218 | Other | NH | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1328 (New Hampshire) | Primary |
Emthibodeau Msw Licsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 New Durham Rd, Alton, NH 03809 Phone: 603-941-4878 |