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NPI Code Detail

MEDICARE: AUDREY LABARRE MSW

MEDICARE:   AUDREY  LABARRE  MSW
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
11041C0700XClinical Social Worker1418NH

Other Identifiers

General Provider Information

NPI Number : 1669683736
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY LABARRE MSW
Provider Business Mailing Address
First Line : 55 HIGH ST
Second Line : SUITE 201
City : HAMPTON
State : NH
Zip : 03842-2213
Country : US
Telephone Number : 603-929-2137
Fax Number : 603-929-7482
Provider Business Practice Location Address
First Line : 55 HIGH ST
Second Line : SUITE 201
City : HAMPTON
State : NH
Zip : 03842-2213
Country : US
Telephone Number : 603-929-2137
Fax Number : 603-929-7482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 03/07/2012

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