Individual
MONIQUE WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15 NELSON ST FL 2, MANCHESTER, NH 03103-2706
(603) 689-7890
Mailing address
15 NELSON ST FL 2, MANCHESTER, NH 03103-2706
(248) 229-1819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3179
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
01/12/2007
Last updated
06/26/2024
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