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Individual

PHILIP K. PIERCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100
Mailing address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP00297
RI
1041C0700X
Clinical Social Worker
Primary
ISW01318
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PP32659
RI
Enumeration date
12/10/2005
Last updated
07/29/2013
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