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Individual

MS. SHAND C. WENTWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.I.C.S.W.

Contact information

Practice address
41 COTTAGE ST, LITTLETON, NH 03561-5717
(603) 444-1756
(613) 444-1756
Mailing address
PO BOX 480, FRANCONIA, NH 03580-0480
(603) 444-1756
(603) 444-1756

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1007
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30421604
NH
05
ORE6637
VT
Enumeration date
08/29/2006
Last updated
07/08/2007
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