Individual
MAKENNA DESFOSSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
583 DANIEL WEBSTER HWY STE B, MERRIMACK, NH 03054-3578
(603) 541-7958
Mailing address
6 WHITEWATER DR, MANCHESTER, NH 03109-4655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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