Individual
KELLY LANE WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
244 HIGH WATCH RD, EFFINGHAM, NH 03882-8336
(603) 539-8743
Mailing address
244 HIGH WATCH RD, EFFINGHAM, NH 03882-8336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1091
NH
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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