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Individual

LISA BLANCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23 WEST ST, #3, ASHLAND, NH 03217-4219
(603) 236-2657
Mailing address
PO BOX 1150, ASHLAND, NH 03217-1150

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17318
NH
103K00000X
Behavior Analyst
57997
NH

Other

Enumeration date
04/11/2016
Last updated
04/11/2016
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