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Individual

MATTHEW J THEBERGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
WAIVER

Contact information

Practice address
85 VERDUN ST, BERLIN, NH 03570-3364
(603) 752-7404
Mailing address
87 WASHINGTON ST, CONWAY, NH 03818-6044
(603) 447-8137

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/27/2019
Last updated
02/27/2019
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