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Individual

SUZANNE MELHADO BOLDUC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW MSW

Contact information

Practice address
64 MAIN ST, MONADUOCK FAMILY SERVICES, KEENE, NH 03431
(603) 357-4400
(603) 357-6859
Mailing address
17 93RD ST, KEENE, NH 03431-3748
(603) 525-5277
(603) 525-5277

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1018005
MA
104100000X
Social Worker
Primary
1181
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
81263595
NH
Enumeration date
12/20/2006
Last updated
12/08/2022
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