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Individual

MR. DAVIS L RICHMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
99 HANOVER ST, MANCHESTER, NH 03101-2203
(603) 668-1920
(603) 668-6260
Mailing address
99 HANOVER ST, PO BOX 448, MANCHESTER, NH 03101-2203
(603) 668-1920
(603) 668-6260

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1233
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30423291
NH
Enumeration date
09/27/2006
Last updated
07/08/2007
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