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Organization
EXTENDED FAMILY LLC
Active
Organization
EXTENDED FAMILY LLC
Active
Other names
Extended Family Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELLEN BOUCHER LICSW (COO)
(603) 430-6863
Entity
Organization
Contact information
Practice address
1000 MARKET ST UNIT 1, PORTSMOUTH, NH 03801-3358
(603) 430-6863
Mailing address
1000 MARKET ST., BUILDING 1 SUITE 104, PORTSMOUTH, NH 03801-3358
(603) 430-6863
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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