Grace, Laura Marise

Grace, Laura Marise is an sole proprietor health care provider with primary practice located at 144 South St , Concord NH 03301-2705. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Grace, Laura Marise can be contacted via phone (603) 230-1599.

Contact Information

Primary practice address
144 South St Concord NH 03301-2705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 110761 New Hampshire

Profile Details

NPI number 1366165987
LBN Legal business name Grace, Laura Marise
Credentials MA, CAGS, NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2022
Last updated Mar 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366165987 NPPES
New Hampshire MEDICAID 3073388

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