MIRANDA RAE FANI SROUR

PORTSMOUTH, NH
NPI1710052618
Former NameMIRANDA RAE MYERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  115136)
Enumeration Date2006-11-24
Last Update Date2018-09-20
Business Address
Mrs. MIRANDA RAE FANI SROUR LICSW
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801-5585
Phone number: 603-431-6703
Mailing Address
Mrs. MIRANDA RAE FANI SROUR LICSW
4 MERRY MEETING LN
RYE, NH 03870-2325
Phone number: 617-504-5737