Individual
MIECHEN JENNELLE KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRSW
Contact information
Practice address
798 CENTRAL AVE, DOVER, NH 03820-2520
(603) 609-6690
(603) 609-6691
Mailing address
798 CENTRAL AVE, DOVER, NH 03820-2520
(603) 609-6690
(603) 609-6691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0422
NH
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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