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Individual

MS. KIMBERLY DAWN DUCHARME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MLADC

Contact information

Practice address
700 LAKE AVE, MANCHESTER, NH 03103
(603) 263-6303
Mailing address
20 PETER RD, MERRIMACK, NH 03054-4543
(036) 661-1625

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0970
NH

Other

Enumeration date
10/18/2005
Last updated
08/10/2018
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