Provider Information for 1932420775
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STEPHANIE B LIAN MSW, LICSW
Sex: Female
NPI: 1932420775
Last Updated: 2017-05-12
Certification Date:
Certification Date:
Details
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NPI | 1932420775 | ||||||||||||
Enumeration Date | 2010-06-16 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
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 | ||||||||||||
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