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NPI Code Detail

MEDICARE: CANDICE WOODS ALIZIO MA, LMFT

MEDICARE: CANDICE WOODS ALIZIO MA, LMFT
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
1106H00000XMarriage & Family Therapist0187NH

General Provider Information

NPI Number : 1992095046
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE WOODS ALIZIO MA, LMFT
Provider Business Mailing Address
First Line : 1750 ELM ST STE 102
Second Line :
City : MANCHESTER
State : NH
Zip : 03104-2919
Country : US
Telephone Number : 603-865-1769
Fax Number : 603-628-7757
Provider Business Practice Location Address
First Line : 1750 ELM ST STE 102
Second Line :
City : MANCHESTER
State : NH
Zip : 03104-2919
Country : US
Telephone Number : 603-865-1769
Fax Number : 603-628-7757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 03/03/2020

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