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Individual

MR. SCOTT NICHOLAS COREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20 MARKET ST, MANCHESTER, NH 03101-1957
(603) 622-4747
Mailing address
43 ROUTE 125 STE 3, KINGSTON, NH 03848-3587
(603) 341-1955

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023175072
NH
Enumeration date
06/13/2019
Last updated
06/13/2019
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