Individual
MS. MARILYN JOHNSON BURDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
64 MAIN ST, KEENE, NH 03431-3701
(603) 283-1513
(603) 357-6859
Mailing address
PO BOX 30, KEENE, NH 03431-0030
(603) 363-4389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
616
NH
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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