Individual
MRS. ANDREA JEAN CANNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
925 MAMMOTH RD, MANCHESTER, NH 03104-4508
(603) 540-7527
Mailing address
925 MAMMOTH RD, MANCHESTER, NH 03104-4508
(603) 540-7527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1685
NH
Other
Enumeration date
07/11/2018
Last updated
08/26/2021
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