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1558485490
BRONWEN B. BALLOU
LEBANON, NH
NPI
1558485490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NH 949)
Enumeration Date
2007-03-17
Last Update Date
2007-07-08
Business Address
MS. BRONWEN B. BALLOU LICSW
367 STATE ROUTE 120 SUITE B1
LEBANON, NH 03766-1430
Phone number: 603-653-0199
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Mailing Address
MS. BRONWEN B. BALLOU LICSW
20 DRESDEN RD
HANOVER, NH 03755-1322
Phone number: 603-643-8838
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