Individual
SHAWNA PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1583 BELMONT ST, MANCHESTER, NH 03104-2759
(603) 860-8809
Mailing address
1583 BELMONT ST, MANCHESTER, NH 03104-2759
(603) 860-8809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/15/2020
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