Individual
MRS. BRENDA M DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
50 PLEASANT ST, CONCORD, NH 03301-4073
(603) 703-7364
Mailing address
716 N PEMBROKE RD, PEMBROKE, NH 03275-3805
(603) 703-7364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1614
NH
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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