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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH GANNON-MOFFETT, LICSW

Active Sole Proprietor

ELIZABETH GANNON-MOFFETT, LICSW is a Clinical Social Worker healthcare provider located in ROLLINSFORD, New Hampshire. NPI 1770516700 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ROLLINSFORD, NH

Registration Details

NPI Number
1770516700
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2006 (20.078969874673 yrs)
Last Updated
Jul 8, 2007
License
1182 (NH)
Sole Proprietor
Yes

Practice Information

Address
3 FRONT ST
SUITE 351
ROLLINSFORD, NH, 038697001
Browse NH providers · Browse ZIP 03869
Phone
6033120731
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.