Organization
TATTOOED THERAPIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE MOORE ANDERTON MSW, LCSW, LCAS, LIC (LICENSED CLINICAL SOCIAL WORKER)
(910) 379-3412
Entity
Organization
Contact information
Practice address
1361 LOST NATION RD, NORTHUMBERLAND, NH 03582-4516
(910) 379-3412
Mailing address
1361 LOST NATION RD, NORTHUMBERLAND, NH 03582-4516
(910) 379-3412
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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