Individual
MR. MARC DONALD STOWBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
829 BEARCAMP HWY., SOUTH TAMWORTH, NH 03883-0029
(603) 323-7509
Mailing address
PO BOX 29, SOUTH TAMWORTH, NH 03883-0029
(603) 323-7509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
238
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80001548
—
NH
Enumeration date
01/31/2007
Last updated
07/08/2007
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