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Individual

ESTELLE M THIBODEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
330 NEW DURHAM RD, ALTON, NH 03809-4923
(603) 941-4878
(603) 941-0410
Mailing address
330 NEW DURHAM RD, ALTON, NH 03809-4923
(603) 941-4878
(603) 941-0410

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1328
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1750304218
NPI
NH
05
30424430
NH
Enumeration date
07/25/2006
Last updated
02/01/2019
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