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Organization

DAWN WYMAN LICSW PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE DIETER (BILLING MANAGER)
(603) 714-0870
Entity
Organization

Contact information

Practice address
3 EXECUTIVE PARK DR STE 212, BEDFORD, NH 03110-6975
(603) 440-4519
(603) 232-3079
Mailing address
PO BOX 4275, MANCHESTER, NH 03108-4275
(603) 440-4519
(603) 232-3079

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
05/15/2017
Last updated
05/15/2017
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