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Individual

LINDA B KENISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LADC

Contact information

Practice address
235 HANOVER ST, MANCHESTER, NH 03104-6115
(603) 622-3020
(603) 622-4043
Mailing address
235 HANOVER ST, MANCHESTER, NH 03104-6115
(603) 622-3020
(603) 622-4043

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0403
NH
1041C0700X
Clinical Social Worker
396
NH

Other

Enumeration date
04/17/2008
Last updated
04/17/2008
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