Individual
KENNETH AUBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
9 BLODGET ST, MANCHESTER, NH 03104-3502
(603) 668-4111
Mailing address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
91
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020258994-03
HARVARD PILGRIM
NH
01
—
1039149
CIGNA
NH
01
—
1405792Y0NH01
BLUE CROSS
NH
Enumeration date
09/16/2006
Last updated
09/21/2011
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