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Organization

N. WILLIAM WHITE LCSW LADC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS W. WHITE DA, LCSW, MLADC (DIRECTOR)
(603) 986-6051
Entity
Organization

Contact information

Practice address
30 PLEASANT STREET, CONWAY, NH 03818
(603) 447-3329
Mailing address
PO BOX 155, JACKSON, NH 03846
(603) 986-6051

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
284
NH
251S00000X
Community/Behavioral Health Agency
LC00006034
ME

Other

Enumeration date
10/12/2012
Last updated
10/12/2012
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