Individual
BEVERLEY BLACK HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1001 ELM ST, MANCHESTER, NH 03101-1828
(603) 270-9181
Mailing address
178 MAPLE RD, CHOCORUA, NH 03817-4677
(603) 662-4509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
428
NH
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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