Individual
AMY GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
267 WEBSTER ST, MANCHESTER, NH 03104-2758
(603) 860-3417
Mailing address
267 WEBSTER ST, MANCHESTER, NH 03104-2758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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