Organization
SUSAN RANDLETT ACSW, DCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN L RANDLETT MSW (SOLE PROPRIETOR)
(603) 456-2004
Entity
Organization
Contact information
Practice address
19 EAST MAIN ST., STE. 2, WARNER, NH 03278
(603) 456-2004
Mailing address
PO BOX 48, WARNER, NH 03278-0048
(603) 456-2004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
433
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y007920NH01
ANTHEM
NH
01
—
2038681
CIGNA
NH
05
—
30423160
—
NH
Enumeration date
05/24/2007
Last updated
08/22/2020
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