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Individual

CAITLIN MIFTARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
422 CENTRAL AVE UNIT 155, DOVER, NH 03820-3411
(603) 812-5219
Mailing address
422 CENTRAL AVE UNIT 155, DOVER, NH 03820-3411
(603) 812-5219
(603) 430-3753

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0950
NH
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
1635
NH
1041C0700X
Clinical Social Worker
LC20100
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3105870
NH
Enumeration date
06/23/2009
Last updated
10/31/2022
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