Organization
EMTHIBODEAU, LICSW, LLC
Active
Other names
EMThibodeau, LICSW, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLE M THIBODEAU LICSW (OWNER)
(603) 941-4878
Entity
Organization
Contact information
Practice address
330 NEW DURHAM RD, ALTON, NH 03809-4923
(603) 941-4878
(603) 941-0410
Mailing address
330 NEW DURHAM RD, ALTON, NH 03809-4923
(603) 941-4878
(603) 941-0410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1328
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750304218
NPI INDIVIDUAL
NH
05
—
30424430
—
NH
Enumeration date
03/30/2010
Last updated
01/26/2024
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