Individual
GAVIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 ERMER RD, SUITE # 215, SALEM, NH 03079-1271
(603) 890-6767
(603) 893-6767
Mailing address
15 ERMER RD, SUITE # 215, SALEM, NH 03079-1271
(603) 890-6767
(603) 893-6767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1729
NH
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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