Individual
MRS. LORI ROSEMARY IRAHETA-YEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
718 SMYTH RD, 116 A, MANCHESTER, NH 03104-7007
(603) 624-4366
Mailing address
718 SMYTH RD, 116 A, MANCHESTER, NH 03104-7007
(603) 624-4366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09007
NM
1041C0700X
Clinical Social Worker
Primary
C-10329
NM
Other
Enumeration date
01/26/2016
Last updated
04/16/2020
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