Provider First Line Business Practice Location Address:
18 BAILEY AVE
Provider Second Line Business Practice Location Address:
CLAREMONT CHILD AND FAMILY CTR
Provider Business Practice Location Address City Name:
CLAREMONT
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-542-5449
Provider Business Practice Location Address Fax Number:
603-542-5455
Provider Enumeration Date:
10/10/2006