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Individual
THOMAS WALTER
Active
Individual
THOMAS WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, CMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
689
NH
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706660Y0NH01
BLUE CROSS
NH
Enumeration date
12/11/2006
Last updated
10/31/2007
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