Individual
DAWN KOKERNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
120 BEDFORD CENTER RD, STE. 302, BEDFORD, NH 03110-5442
(603) 472-5117
Mailing address
43 BOURNE DR, BEDFORD, NH 03110-6849
(603) 472-5117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
272
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400567Y0NH01
ANTHEM BLUE CROSS BLUE SH
NH
Enumeration date
09/13/2006
Last updated
07/08/2007
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