Individual
SIERRA LIZA DIPRIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 AVON ST, KEENE, NH 03431-3516
(603) 357-4400
Mailing address
64 MAIN ST, KEENE, NH 03431-3701
(603) 283-1570
(603) 357-9648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
5969
NH
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/12/2026
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