Individual
MS. BEVERLY ANN MUNDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
42 SOUTH ST, KEENE, NH 03431-4174
(603) 505-7194
Mailing address
42 SOUTH ST, KEENE, NH 03431-4174
(603) 505-7194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1433
NH
Other
Enumeration date
10/19/2011
Last updated
05/10/2017
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