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10-12 Amherst St Nashua NH 03064-0306 | |
| (603) 821-7788 | |
| (603) 821-5620 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10-12 Amherst St, Nashua, New Hampshire |
| Authorized Official Name and Position | Jamie Timmins (CREDENTIALING/ CONTRACTING) |
| Authorized Official Contact | 6038823616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
77 Northeastern Blvd Nashua NH 03062-3128 Ph: (603) 882-3616 | 10-12 Amherst St Nashua NH 03064-0306 Ph: (603) 821-7788 |
| NPI Number | 1386149482 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386149482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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