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1598121188
ANGELIQUE ALICIA FORTIN
LITTLETON, NH
NPI
1598121188
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Former Name
ANGIE LONG/ROBERTS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NH 2035)
Enumeration Date
2016-01-12
Last Update Date
2021-02-05
Business Address
ANGELIQUE ALICIA FORTIN LCMHC
101 COTTAGE ST STE 5B
LITTLETON, NH 03561-4218
Phone number: 603-991-1304
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Mailing Address
ANGELIQUE ALICIA FORTIN LCMHC
101 COTTAGE ST STE 5B
LITTLETON, NH 03561-4218
Phone number: 603-991-1304
Copy
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