Individual
EMILY GRACE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ABBEY LN APT 21, DOVER, NH 03820-3969
(603) 534-8739
Mailing address
1 ABBEY LN APT 21, DOVER, NH 03820-3969
(603) 534-8739
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1183276
NH
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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