Healthcare Provider Details

I. General information

NPI: 1811146244
Provider Name (Legal Business Name): LILIANNE VOIGT OUIMET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 06/23/2021
Certification Date: 06/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 ERMER RD UNIT 215
SALEM NH
03079-1272
US

IV. Provider business mailing address

15 ERMER RD UNIT 215
SALEM NH
03079-1272
US

V. Phone/Fax

Practice location:
  • Phone: 603-890-6767
  • Fax: 603-893-6767
Mailing address:
  • Phone: 603-890-6767
  • Fax: 603-893-6767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2066
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: