Individual
MRS. SHELLEY ANNA DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2 CONCORD RD STE 2, LEE, NH 03861-6628
(603) 828-5716
Mailing address
32 MAST RD, LEE, NH 03861-6518
(603) 828-5716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1557
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33400075
—
NH
01
—
P01119090
RAILROAD MEDICARE
NH
Enumeration date
12/29/2007
Last updated
09/25/2024
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