Individual
SHANA ANN MCTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAGS
Contact information
Practice address
23 SCHOOL ST, DANVILLE, NH 03819-5138
(603) 382-5554
Mailing address
23 SCHOOL ST, DANVILLE, NH 03819-5138
(603) 382-5554
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
67047
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67047
—
NH
Enumeration date
04/28/2021
Last updated
04/28/2021
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