Individual
DEREK EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
Mailing address
8 WASHINGTON CT, CENTER BARNSTEAD, NH 03225-3331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
834
NH
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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