Individual
JENNA MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
401 CYPRESS ST, MANCHESTER, NH 03103-3699
(603) 668-4111
Mailing address
2 WALL ST STE 100A, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NH
Other
Enumeration date
09/29/2021
Last updated
12/15/2022
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