Individual
SUSAN BOLL PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 AVON ST, KEENE, NH 03431-3516
(603) 357-4400
Mailing address
64 MAIN ST, KEENE, NH 03431-3701
(603) 209-6265
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
03/28/2007
Last updated
04/11/2024
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