Provider Information for 1508315433
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RACHEL DEVITA LCMHC
Sex: Female
NPI: 1508315433
Last Updated: 2016-10-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1508315433 | ||||||||
| Enumeration Date | 2016-10-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1056 RIVER RD MANCHESTER, NH 03064-8125 United States Phone: 603-930-5493 | Fax: | ||||||||
| Primary Practice Address | 956 FOX HOLLOW DR HUDSON, NH 03051-4889 United States Phone: 603-930-5493 | Fax: | ||||||||
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