Individual
PAUL HERMAN VAN SLOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2307
(603) 609-6924
Mailing address
10 MEMBERS WAY, DOVER, NH 03820-5933
(603) 740-2307
(603) 609-6924
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55
NH
1041C0700X
Clinical Social Worker
LC1269
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780646323
—
ME
05
—
3074625
—
NH
Enumeration date
04/06/2006
Last updated
06/04/2014
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