Individual
MRS. MARY J SUPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
589 W HOLLIS ST STE 203, NASHUA, NH 03062-1310
(603) 417-0471
Mailing address
589 W HOLLIS ST STE 203, NASHUA, NH 03062-1310
(603) 417-0471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1105
NH
Other
Enumeration date
12/07/2005
Last updated
07/21/2022
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