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Individual

MACKENZIE RYAN SEELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MLADC LICSW

Contact information

Practice address
542 MAST RD STE 4, GOFFSTOWN, NH 03045-5258
(603) 581-8090
Mailing address
542 MAST RD STE 4, GOFFSTOWN, NH 03045-5258
(603) 581-8090

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1094
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3141790
NH
Enumeration date
08/22/2019
Last updated
09/03/2024
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