Individual
KENNETH AUBRY
Active
Individual
KENNETH AUBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
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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