ERIK BERTRAM JOHANNESSEN

MANCHESTER, NH
NPI1467671040
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NH  71)
Enumeration Date2007-04-24
Last Update Date2011-06-30
Business Address
MR. ERIK BERTRAM JOHANNESSEN MSSS
718 SMYTH RD
MANCHESTER, NH 03104-7007
Phone number: 603-624-4366
Mailing Address
MR. ERIK BERTRAM JOHANNESSEN MSSS
718 SMYTH RD VA MEDICAL CENTER
MANCHESTER, NH 03104
Phone number: 603-624-4366
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