Individual
SHANNON MARGERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 OLD ROLLINSFORD RD STE 302, DOVER, NH 03820-2819
(603) 742-9200
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 643-8315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1556
NH
1041C0700X
Clinical Social Worker
Primary
4943
NH
1041C0700X
Clinical Social Worker
LC23949
ME
1041C0700X
Clinical Social Worker
LICSW128442
MA
Other
Enumeration date
09/23/2022
Last updated
04/21/2025
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