Individual
JUDITH FAY KOLLMORGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2013 ELM ST, MANCHESTER, NH 03104-2528
(603) 682-4700
Mailing address
PO BOX 1446, WOLFEBORO, NH 03894-1446
(603) 682-4700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3021
NH
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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