Individual
MRS. SARA JEANNE DUPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
635 MAIN ST STE 303, LACONIA, NH 03246-3415
(603) 507-6477
(855) 822-0419
Mailing address
79 KAULBACK RD, SANBORNTON, NH 03269-2811
(603) 520-5426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
2270
NH
104100000X
Social Worker
Primary
2270
NH
Other
Enumeration date
12/01/2008
Last updated
05/01/2020
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