Individual
BRUCE BISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7004
(603) 624-4366
Mailing address
59 DALLAIRE ST, MANCHESTER, NH 03104-3426
(603) 624-4366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
300
NH
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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