MEDICARE: MARGARET RIESER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	735	NH

General Provider Information

NPI Number	:	1992826986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET RIESER

Provider Business Mailing Address
First Line	:	87 WASHINGTON ST
Second Line	:
City	:	CONWAY
State	:	NH
Zip	:	03818-6044
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 BAY ST
Second Line	:
City	:	WOLFEBORO
State	:	NH
Zip	:	03894-4320
Country	:	US
Telephone Number	:	603-569-1884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	07/08/2007

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