Individual
DEEDEE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
753 CHESTNUT ST, MANCHESTER, NH 03104-3011
(603) 668-0660
(603) 624-1884
Mailing address
19 HERITAGE DR, BEDFORD, NH 03110-6014
(603) 472-5248
(603) 624-1884
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
NH 187
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80001304
—
NH
Enumeration date
12/01/2006
Last updated
07/08/2007
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