Organization
EMTHIBODEAU MSW LICSW LLC
Active
Other names
ESTELLE M THIBODEAU SOLE MBR, EMThibodeau LICSW LLC, EMThibodeau MSW LICSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLE M THIBODEAU LICSW (OWNER)
(603) 941-4878
Entity
Organization
Contact information
Practice address
330 NEW DURHAM RD, ALTON, NH 03809-4923
(603) 941-4878
Mailing address
330 NEW DURHAM RD, ALTON, NH 03809-4923
(603) 941-4878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265757470
ANTHEM BCBS
NH
01
—
1750304218
NPPES
NH
Enumeration date
04/19/2024
Last updated
04/19/2024
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