Individual
STACEY CHARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 12TH ST, BERLIN, NH 03570-3860
(603) 752-7404
(603) 752-5194
Mailing address
55 COLBY ST, COLEBROOK, NH 03576-3047
(603) 237-4955
(603) 237-4882
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12333
NH
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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