Individual
MR. DOUGLAS LLOYD IOSUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
64 MAIN ST, SUITE 201, KEENE, NH 03431-3701
(603) 357-4400
(603) 357-6859
Mailing address
17 93RD ST, KEENE, NH 03431-3748
(603) 357-4400
(603) 357-6859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
908
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81263595
—
NH
Enumeration date
05/25/2006
Last updated
10/30/2007
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