Individual
ELAINE DEMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW.,LCSW
Contact information
Practice address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100
Mailing address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
576
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y007816NH01
ANTHEM
NH
01
—
889985A
MVP HEALTHCARE
NH
Enumeration date
12/21/2006
Last updated
07/08/2007
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