Individual
KELLY LYNN VAN DOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10 MEMBERS WAY STE 201, DOVER, NH 03820-5933
(603) 742-2263
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-2263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
119709
MA
1041C0700X
Clinical Social Worker
Primary
2134
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3117655
—
NH
Enumeration date
09/19/2011
Last updated
08/20/2019
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