Individual
HUNTER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
35 ACADEMY ST, LACONIA, NH 03246-3606
(603) 556-4360
Mailing address
35 ACADEMY ST, LACONIA, NH 03246-3606
(603) 556-4360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW136529
PA
1041C0700X
Clinical Social Worker
1019
NH
1041C0700X
Clinical Social Worker
Primary
ISW20765
FL
Other
Enumeration date
08/08/2023
Last updated
01/14/2025
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