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1144321845
MELANIE OTIS
CONCORD, NH
NPI
1144321845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NH 296)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
-- MELANIE OTIS M.Ed., LADC
250 PLEASANT ST
CONCORD, NH 03301-7539
Phone number: 603-228-7200
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Mailing Address
-- MELANIE OTIS M.Ed., LADC
PO BOX 2032
CONCORD, NH 03302-2032
Phone number: 603-228-1551
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