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General NPI Number Information
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NPI Number | 1093963977
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Entity Type | Organization
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Legal Business Name | GRANITE STATE CHILD & FAMILY COUNSELING, PLLC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 468 ROUTE 13 S
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City | MILFORD
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State | NH
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Zip | 03055-3488
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Country | US
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Telephone | 603-316-9187
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Fax | 603-589-1285
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Provider Business Mailing Address
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Address Line | 468 ROUTE 13 S
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City | MILFORD
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State | NH
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Zip | 03055-3488
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Country | US
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Telephone | 603-316-9187
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Fax | 603-589-1285
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Authorized Official
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Title or Position | OWNER
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Name | LYNNE M DUVAL
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Credential | LICSW
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Telephone | 603-316-9187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1207
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License Number State | NH
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