Individual
MR. STEPHEN LASNIER KETAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8657
Mailing address
PO BOX 1050, NORWICH, VT 05055-1050
(310) 403-3605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2620
NH
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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