Individual
MR. ERIK BERTRAM JOHANNESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSS
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
(603) 629-3217
Mailing address
718 SMYTH RD, VA MEDICAL CENTER, MANCHESTER, NH 03104
(603) 624-4366
(603) 629-3217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
71
NH
Other
Enumeration date
04/24/2007
Last updated
06/30/2011
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