Individual
EMILY GRAVENHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
53 S MAIN ST STE 206, HANOVER, NH 03755-2022
(603) 865-1321
Mailing address
35 NEWPORT RD, NEW LONDON, NH 03257-5413
(603) 865-1321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4929
NH
Other
Enumeration date
08/26/2019
Last updated
05/09/2024
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