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23 S Main St Ste 2a Hanover NH 03755-2075 | |
| (603) 691-3435 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 23 S Main St Ste 2a, Hanover, New Hampshire |
| Authorized Official Name and Position | Jay Wolter (CEO) |
| Authorized Official Contact | 6033599044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
633 Nh Route 10 Po Box 325 Orford NH 03777 Ph: () - | 23 S Main St Ste 2a Hanover NH 03755-2075 Ph: (603) 691-3435 |
| NPI Number | 1760727978 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 11/15/2024 |
| Certification Date | 11/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760727978 | NPI | - | NPPES |
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