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Individual

CAROLYN KAULBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20 MARKET ST, MANCHESTER, NH 03101-1957
(603) 622-4747
Mailing address
20 MARKET ST, MANCHESTER, NH 03101-1957
(603) 622-4747

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30904578
NH
Enumeration date
10/10/2014
Last updated
10/10/2014
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