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Organization
DAWN WYMAN LICSW PLLC
Active
Organization
DAWN WYMAN LICSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE DIETER (BILLING MANAGER)
(603) 714-0870
Entity
Organization
Contact information
Practice address
3 EXECUTIVE PARK DR STE 212, BEDFORD, NH 03110-6975
(603) 440-4519
(603) 232-3079
Mailing address
PO BOX 4275, MANCHESTER, NH 03108-4275
(603) 440-4519
(603) 232-3079
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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