Individual
MS. JUDITH P. GEAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
25 OLD DOVER RD, ROCHESTER, NH 03867-3464
(603) 516-9300
Mailing address
113 CROSBY RD, DOVER, NH 03820-4370
(603) 516-9300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
NH1163
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000893201
MEDICARE PTAN
NH
05
—
30931444
—
NH
Enumeration date
05/22/2007
Last updated
02/11/2009
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