Individual
SUSANNA IM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 WASHINGTON ST STE 1, DOVER, NH 03820-3721
(603) 460-5945
Mailing address
140 WASHINGTON ST STE 1, DOVER, NH 03820-3721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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