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Organization

MONADNOCK FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK A AGISIM MD (CHEIF MEDICAL OFFICER)
(603) 357-5270
Entity
Organization

Contact information

Practice address
17 93RD ST, KEENE, NH 03431-3989
(603) 357-5270
(603) 357-6896
Mailing address
17 93RD ST, KEENE, NH 03431-3989
(603) 357-5270
(603) 357-6896

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
057994-21
NH

Other

Enumeration date
11/28/2011
Last updated
11/28/2011
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