Wild Irish Farm, LLC
NPI #1285915199 in Newington, New Hampshire
Provider Information
- NPI Number
- 1285915199
- Entity Type
- Organization
- Organization Name
- Wild Irish Farm, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 6, 2011
- Last Updated
- Sep 6, 2011
Practice Location
- Address
- 408 NEWINGTON RD
- City
- Newington
- State
- New Hampshire
- ZIP Code
- 03801-2730
- Phone
- (603) 436-2022
Authorized Official
- Name
- MRS. LAURA M PETERSON, LICSW
- Title
- CLINICIAN
- Phone
- (603) 436-2022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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