Organization
BARRIE DAIGNEAULT LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRIE DAIGNEAULT LICSW (CLINICIAN)
(603) 867-2974
Entity
Organization
Contact information
Practice address
53 MAMMOTH RD, MANCHESTER, NH 03109-4301
(603) 867-2974
(603) 666-7177
Mailing address
53 MAMMOTH RD, MANCHESTER, NH 03109-4301
(603) 867-2974
(603) 666-7177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
848
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3086040
—
NH
Enumeration date
08/05/2016
Last updated
08/05/2016
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