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Provider Information for 1932420775


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STEPHANIE B LIAN MSW, LICSW


Sex: Female

NPI: 1932420775
Last Updated: 2017-05-12
Certification Date:

Details

NameValue
NPI1932420775
Enumeration Date2010-06-16
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 111 CHURCH ST
LACONIA, NH 03246-3432
United States

Phone: 603-524-1100 | Fax:603-528-0760
 
Primary Practice Address 111 CHURCH ST
LACONIA, NH 03246-3432
United States

Phone: 603-524-1100 | Fax:603-528-0760
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - Clinical
Yes 1041C0700X - Social Worker - ClinicalNH1764