Individual
MS. AUDREY ANNE WATJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2013 ELM ST, MANCHESTER, NH 03104-2528
(603) 627-2702
(603) 627-3643
Mailing address
2013 ELM ST, MANCHESTER, NH 03104-2528
(603) 627-2702
(603) 627-3643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LICSW82
NH
1041C0700X
Clinical Social Worker
Primary
5604
TN
Other
Enumeration date
05/18/2006
Last updated
07/15/2013
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