Individual
CAROLLYN FEDERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
13 JENKINS COURT SUITE 242, DURHAM, NH 03824
(603) 833-1408
Mailing address
PO BOX 383, BARRINGTON, NH 03825-0383
(603) 833-1408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
952
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30421697
—
NH
Enumeration date
02/05/2007
Last updated
08/03/2024
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