Individual
KATHLEEN M WOOD BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
183 ROCKINGHAM ROAD, WINDHAM, NH 03087
(603) 434-9937
(603) 434-0427
Mailing address
754 CHESTNUT ST, SUITE 2, MANCHESTER, NH 03104-3012
(603) 836-5003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LICSW1238
NH
Other
Enumeration date
05/19/2006
Last updated
07/11/2016
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