Individual
MRS. BETH GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15 ERMER RD, SUITE 208, SALEM, NH 03079-1271
(603) 898-3388
Mailing address
15 ERMER RD, SUITE 208, SALEM, NH 03079-1271
(603) 898-3388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1312
NH
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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