Individual
MS. MARYANNE C STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Contact information
Practice address
317 PARK AVE, KEENE, NH 03431-1555
(603) 358-6789
(603) 358-6789
Mailing address
317 PARK AVE, KEENE, NH 03431-1555
(603) 358-6789
(603) 358-6789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103904
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
558
NH
1041C0700X
Clinical Social Worker
Primary
0890000982
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2192725
CIGNA BHN
NH
01
—
30Y007518NH01
BCBS BHN
NH
Enumeration date
08/28/2006
Last updated
04/03/2015
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