TIMOTHY GORDON RUNK

DOVER, NH
NPI1790038008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NH  1255)
Enumeration Date2012-10-24
Last Update Date2012-10-24
Business Address
-- TIMOTHY GORDON RUNK LICSW
16 FIFTH ST
DOVER, NH 03820-2950
Phone number: 603-749-4462
Mailing Address
-- TIMOTHY GORDON RUNK LICSW
16 FIFTH ST
DOVER, NH 03820-2950
Phone number: 603-749-4462
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