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Contact Information

MELISSA R BERTOULIN, MSW LICSW
138 WEBSTER STREET
MANCHESTER, NH03104
 Phone: 603-645-5977
 Fax: 603-645-5980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MELISSA R BERTOULIN · (Female)

NPI Number 1487674917
Status Active
Credentials MSW LICSW
Entity Individual
Enumeration date 07/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 1320
  • NH Medicaid 30424174
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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