Healthcare Provider Details

I. General information

NPI: 1548544935
Provider Name (Legal Business Name): DEBORAH M HORTON LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2011
Last Update Date: 11/23/2023
Certification Date: 11/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CHURCH ST STE E
DEERFIELD NH
03037-1428
US

IV. Provider business mailing address

14 RIDGE RD
DEERFIELD NH
03037-1407
US

V. Phone/Fax

Practice location:
  • Phone: 603-303-4626
  • Fax:
Mailing address:
  • Phone: 603-303-4626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1612
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: