Individual
DIANNE TERESE PHILION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2013 ELM ST, MANNING HOUSE, MANCHESTER, NH 03104-2528
(603) 627-2702
(603) 627-3643
Mailing address
2013 ELM ST, MANNING HOUSE, MANCHESTER, NH 03104-2528
(603) 627-2702
(603) 627-3643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1352
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y011498NH01
BCBS
NH
05
—
30424807
—
NH
Enumeration date
03/12/2007
Last updated
01/31/2008
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