Individual
GWEN MARCELLE CHABOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
310 MAIN AVE, SOUTH HAMPTON, NH 03827-3504
(978) 504-9206
Mailing address
310 MAIN AVE, SOUTH HAMPTON, NH 03827-3504
(978) 504-9206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3077
NH
Other
Enumeration date
10/24/2023
Last updated
11/17/2023
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