Individual
MS. SHANNON KRISTINA LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
Mailing address
718 SMYTH RD, MANCHESTER, NH 03104-4098
(603) 624-4366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2685
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
VA
NH
01
—
2685
LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
NH
Enumeration date
08/20/2019
Last updated
08/14/2023
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