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Individual

BONNY BOSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
289 MAIN ST, SALEM, NH 03079-2731
(603) 898-0044
Mailing address
15 NEWFIELDS RD, EXETER, NH 03833-4540
(603) 502-1853

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
453
NH

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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