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Individual

SAMANTHA KATHERINE MARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSSW

Contact information

Practice address
71 BELKNAP AVE, NEWPORT, NH 03773-1536
(603) 863-1951
Mailing address
9 HANOVER ST STE 2, LEBANON, NH 03766-1312
(603) 448-0126

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3077550
NH
Enumeration date
12/18/2018
Last updated
12/18/2018
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