Individual
SANDRA LEE BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
1 JUNKINS AVE, #2, PORTSMOUTH, NH 03801-4561
(603) 433-3109
Mailing address
1 JUNKINS AVE, #2, PORTSMOUTH, NH 03801-4561
(603) 433-3109
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
22
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010263
—
NH
Enumeration date
01/02/2007
Last updated
07/08/2007
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