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Individual

RICHARD S DUFRESNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
20 GROVE ST, PETERBOROUGH, NH 03458-1470
(603) 924-7462
(603) 924-2138
Mailing address
20 GROVE ST, PETERBOROUGH, NH 03458-1470
(603) 924-7462
(603) 924-2138

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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