Individual
MARY BETH BLOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
20 LADD ST, PORTSMOUTH, NH 03801-4087
(603) 828-3216
(603) 379-2529
Mailing address
20 LADD ST, PORTSMOUTH, NH 03801-4087
(603) 828-3216
(603) 379-2529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
863
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30423913
—
NH
01
—
7706655Y0NH01
BHN
NH
Enumeration date
12/05/2006
Last updated
03/17/2011
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