Individual
MS. SHANNON FARREN BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15 GREEN RD, RAYMOND, NH 03077
(603) 244-1256
Mailing address
15 GREEN RD, RAYMOND, NH 03077
(603) 244-1256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1030754
MA
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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