Individual
LUCAS JOHN BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 PLEASANT ST, CONCORD, NH 03301-2598
(603) 228-7200
Mailing address
51 MAIN ST APT 2D, KEENE, NH 03431-3716
(608) 397-1294
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0000
NH
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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