Individual
CHARLES DOUCETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 GRANITE ST, LONDONDERRY, NH 03053-3797
(307) 242-5735
Mailing address
110 GRANITE ST, LONDONDERRY, NH 03053-3797
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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