Individual
CHEYENNE RENE GARSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 SPRING ST, KEENE, NH 03431-3251
(603) 313-2940
Mailing address
20 SPRING ST, KEENE, NH 03431-3251
(603) 313-2940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3076
NH
1041C0700X
Clinical Social Worker
44SC05799300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
10/05/2017
Last updated
08/03/2024
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