Provider Information for 1629266952
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KATHRYN STARRATT MSW, LICSW
Sex: Female
NPI: 1629266952
Last Updated: 2018-10-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1629266952 | ||||||||
| Enumeration Date | 2007-10-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 2032 CONCORD, NH 03302-2032 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 130 PEMBROKE RD CONCORD, NH 03301-5792 United States Phone: 603-228-1600 | Fax: | ||||||||
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