Individual
MIRANDA F BOCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
141 UNION ST, MANCHESTER, NH 03103-5563
(603) 625-0010
Mailing address
1457 OCEAN BLVD, RYE, NH 03870-2207
(603) 431-5112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
819
NH
Other
Enumeration date
06/20/2008
Last updated
10/05/2010
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