Individual
JOHANNA MAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MAPLEWOOD AVE UNIT 6, PORTSMOUTH, NH 03801-3787
(603) 686-0028
Mailing address
118 MAPLEWOOD AVE UNIT 6, PORTSMOUTH, NH 03801-3787
(603) 686-0028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
108000
MA
1041C0700X
Clinical Social Worker
Primary
1147
NH
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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