Individual
MICHELLE M TETREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 WATER ST, THE MERRILL BLOCK, EXETER, NH 03833-2424
(603) 772-0626
Mailing address
16 HUMES CT, STRATHAM, NH 03885-2263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107700
MA
1041C0700X
Clinical Social Worker
Primary
628
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009201
—
NH
Enumeration date
04/17/2007
Last updated
07/08/2007
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