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Individual

DOUGLAS WEED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1228 ELM ST, MANCHESTER, NH 03101-1349
(603) 668-4111
(603) 628-7757
Mailing address
105 LOUDON RD BLDG 3, CONCORD, NH 03301-5600
(603) 228-0547

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
115363
MA
1041C0700X
Clinical Social Worker
Primary
1576
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306421
MA
05
1308785
MA
01
M18684
BCBS
MA
Enumeration date
05/22/2007
Last updated
08/26/2021
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