Individual
RYAN GAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
881 MARLBORO RD, KEENE, NH 03431-5617
(877) 932-6757
(603) 415-2489
Mailing address
22 SOUHEGAN DR, MERRIMACK, NH 03054-3626
(603) 438-3276
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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