Individual
MRS. LAUREN GULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
(603) 430-3753
Mailing address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
(603) 430-3753
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99003227
—
NH
Enumeration date
09/28/2012
Last updated
07/13/2015
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