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Individual

SHASTA WINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, MLADC

Contact information

Practice address
46 BRIDGE ST, UNIT I, NASHUA, NH 03060-3576
(603) 512-7429
Mailing address
46 BRIDGE ST, UNIT I, NASHUA, NH 03060-3576
(603) 512-7429

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0819
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3097509
NH
Enumeration date
08/23/2010
Last updated
10/21/2014
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