Individual
MRS. STACY A CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, MLADC
Contact information
Practice address
323 GONIC ROAD SUITE 5, ROCHESTER, NH 03839-4592
(603) 332-8000
Mailing address
55 SHERBORNE ROAD, BARRINGTON, NH 03825-5519
(603) 571-4317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0988
NH
1041C0700X
Clinical Social Worker
Primary
2247
NH
225800000X
Recreation Therapist
39488
NH
Other
Enumeration date
04/10/2007
Last updated
08/05/2019
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