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1013657618
SUPPORTIVE CARE OF NEW HAMPSHIRE LLC
DERRY, NH
NPI
1013657618
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Entity Type
Organization
Authorized Contact
RAPHAEL LICHTSCHEIN
President
718-298-4375
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
SUPPORTIVE CARE OF NEW HAMPSHIRE LLC
20 CHESTER RD
DERRY, NH 03038-1636
Phone number: 718-298-4375
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Mailing Address
SUPPORTIVE CARE OF NEW HAMPSHIRE LLC
27 RANDOLPH RD
HOWELL, NJ 07731-8611
Phone number: 718-298-4375
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