Individual
FORREST WILSON SEYMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
103 ROXBURY ST, SUITE 207, KEENE, NH 03431-8801
(603) 721-9979
Mailing address
42 DOUGLASS ST, KEENE, NH 03431-3227
(603) 721-9979
(603) 721-9979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW 1318
NH
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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