Individual
MS. DEBORAH A HRDLICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
170 KEARSARGE RD, NORTH CONWAY, NH 03860-5331
(603) 356-4114
(603) 356-4118
Mailing address
PO BOX 503, NORTH CONWAY, NH 03860-0503
(603) 356-4114
(603) 356-4118
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCMHC203
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30426632
—
NH
Enumeration date
10/03/2006
Last updated
09/21/2012
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