Individual
STEPHEN ELIOT CORSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
10 BATES ST, KEENE, NH 03431-2833
(774) 217-1496
Mailing address
10 BATES ST, KEENE, NH 03431-2833
(774) 217-1496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105778
MA
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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