Individual
SUZANNE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
113 CROSBY RD, DOVER, NH 03820-4370
(603) 749-4015
Mailing address
113 CROSBY RD, DOVER, NH 03820-4370
(603) 749-4015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99560059
—
NH
Enumeration date
05/22/2007
Last updated
07/08/2007
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