Self Employed
NPI #1811677149 in Gilford, New Hampshire
Provider Information
- NPI Number
- 1811677149
- Entity Type
- Organization
- Organization Name
- Self Employed
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 21, 2023
- Last Updated
- Jul 21, 2023
Practice Location
- Address
- 6 POTTER HILL RD
- City
- Gilford
- State
- New Hampshire
- ZIP Code
- 03249-6802
- Phone
- (603) 387-6636
Authorized Official
- Name
- EDITH GAULT, LICSW
- Title
- CLINICIAN
- Phone
- (603) 387-6636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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