Sujeong Shin Counseling, Pllc | |
24 Front St Ste G10 Exeter NH 03833-2727 | |
(603) 583-2764 | |
Not Available |
Full Name | Sujeong Shin Counseling, Pllc |
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Speciality | Social Worker |
Location | 24 Front St Ste G10, Exeter, New Hampshire |
Authorized Official Name and Position | Sujeong Shin (OWNER) |
Authorized Official Contact | 6034130558 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sujeong Shin Counseling, Pllc 113 High St Exeter NH 03833-2927 Ph: (603) 772-6425 | Sujeong Shin Counseling, Pllc 24 Front St Ste G10 Exeter NH 03833-2727 Ph: (603) 583-2764 |
NPI Number | 1114570702 |
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Provider Enumeration Date | 07/22/2019 |
Last Update Date | 10/03/2019 |
Medicare PECOS PAC ID | 1456682194 |
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Medicare Enrollment ID | O20191011000523 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114570702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sujeong C Shin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780163493 PECOS PAC ID: 8729339379 Enrollment ID: I20180921000497 |
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