Individual
JANET M SODERQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 CANDIA RD, MANCHESTER, NH 03109-5207
(603) 645-5200
(603) 645-6098
Mailing address
1015 CANDIA RD, MANCHESTER, NH 03109-5207
(603) 645-5200
(603) 645-6098
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110066943A
—
MA
05
—
3079514
—
NH
05
—
METPID002735
—
ME
Enumeration date
02/08/2019
Last updated
02/08/2019
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