Individual
ROGER BEAUDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
279 SHIRLEY HILL RD, GOFFSTOWN, NH 03045-2344
(603) 497-2832
Mailing address
279 SHIRLEY HILL RD, GOFFSTOWN, NH 03045-2344
(603) 497-2832
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
365
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8001933
—
NH
Enumeration date
03/04/2007
Last updated
07/08/2007
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