Individual
MRS. EDITH J GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
67 COMMUNICATIONS WAY, LACONIA, NH 03246
(603) 524-8811
(603) 524-0272
Mailing address
67 COMMUNICATIONS WAY, LACONIA, NH 03246
(603) 524-8811
(603) 524-0272
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1094
NH
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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