Individual
NICOLE BANDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MARCY ST, PORTSMOUTH, NH 03801-4649
(603) 770-2275
Mailing address
152 SOUTH ST, PORTSMOUTH, NH 03801-4525
(603) 770-2275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2772
NH
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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