Individual
GRACE GOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 SPRUCE ST, MANCHESTER, NH 03103-5381
(401) 559-1660
Mailing address
130 SPRUCE ST, MANCHESTER, NH 03103-5381
(401) 559-1660
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-18--8587
CO
Other
Enumeration date
04/11/2018
Last updated
09/27/2021
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