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Contact Information

ROGER BEAUDOIN, LICSW
279 SHIRLEY HILL RD
GOFFSTOWN, NH03045-2344
 Phone: 603-497-2832
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ROGER BEAUDOIN · (Male)

NPI Number 1598894990
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 03/04/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 365
  • NH Medicaid 8001933
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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