Individual
STACEY COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 MIDDLE ST, MANCHESTER, NH 03101-1981
(603) 321-2070
Mailing address
121 MIDDLE ST, MANCHESTER, NH 03101-1981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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