Individual
SEAN BREIDENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
599 TENNEY MOUNTAIN HWY, PLYMOUTH, NH 03264-3147
(603) 524-1100
Mailing address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1709
NH
Other
Enumeration date
01/05/2011
Last updated
04/29/2013
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