Individual
RICHARD S DUFRESNE
Active
Individual
RICHARD S DUFRESNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LICSW #105557
MA
1041C0700X
Clinical Social Worker
Primary
LICSW #22
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400718Y0NH01
ANTHEM
NH
01
—
15480
PATRIOT
—
01
—
69365
CIGNA
—
05
—
80001847
—
NH
01
—
NH1631
HARVARDPILGRIMHEALTHCARE
—
Enumeration date
02/12/2007
Last updated
07/08/2007
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