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Individual

MS. JILL ANN JOHNSON BARDSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W.

Contact information

Practice address
12 PEPIN DRIVE, BOW, NH 03304-4418
(603) 748-6103
(603) 225-5757
Mailing address
12 PEPIN DRIVE, BOW, NH 03304-4418
(603) 748-6103
(603) 225-5757

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
59
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043905
CIGNA HEALTHCARE
NH
01
1401372YONH01
ANTHEMBLUECROSSBLUESHIEL
NH
05
30006754
NH
01
5950222
AETNA
NH
Enumeration date
05/02/2007
Last updated
09/21/2015
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