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Individual

LAURENE ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
FAMILY GUIDANCE CENTER OF MILFORD, 16 ELM STREET, MILFORD, NH 03055
(603) 672-5005
(603) 672-6501
Mailing address
16 ELM STREET, MILFORD, NH 03055
(603) 672-5005
(603) 672-6501

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LICSW 963
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012110
HARVARD PILGRIM
01
14Y000930NH01
ANTHEM BCBS
01
2053065
CIGNA
05
30420983
NH
01
416775
VALUE OPTIONS
Enumeration date
09/20/2006
Last updated
07/08/2007
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