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1174078885
ANDREA R DOMENICO
MANCHESTER, NH
NPI
1174078885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NH 1205)
Enumeration Date
2016-08-23
Last Update Date
2016-08-23
Business Address
-- ANDREA R DOMENICO
1361 ELM ST STE 400
MANCHESTER, NH 03101-1323
Phone number: 603-232-6987
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Mailing Address
-- ANDREA R DOMENICO
11 CLEAR CREEK WAY
MANCHESTER, NH 03102-8462
Phone number: 603-793-8029
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