Individual
MS. KRISTEN ES LIBBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
138 WEBSTER ST, MANCHESTER, NH 03104-2512
(603) 645-5977
(603) 645-5980
Mailing address
PO BOX 3300, MANCHESTER, NH 03105-3300
(603) 645-5977
(603) 645-5980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
898
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144001671NH01
ANTHEM
—
05
—
30422713
—
NH
Enumeration date
10/05/2005
Last updated
07/08/2007
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