| Katie Hersom Licsw, Pllc | |
|
6 Mohawk Dr Londonderry NH 03053-3757 | |
| (603) 489-7213 | |
| Not Available |
| Full Name | Katie Hersom Licsw, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6 Mohawk Dr, Londonderry, New Hampshire |
| Authorized Official Name and Position | Katherine Hersom (OWNER) |
| Authorized Official Contact | 6034897213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Hersom Licsw, Pllc 181 Emerson Ave Hampstead NH 03841-2215 Ph: () - | Katie Hersom Licsw, Pllc 6 Mohawk Dr Londonderry NH 03053-3757 Ph: (603) 489-7213 |
| NPI Number | 1831750058 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 06/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831750058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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