Doctor Name: | MR. EDWARD SWEENEY REDMOND |
NPI Number: | 1386717031 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 374 |
Business Practice Address: | 25 Country Club Rd Village West I Ste 405 Gilford, NH - 03247 |
Business Phone Number: | 6032930395 |
Business Fax Number: | 6032930395 |
Mailing Address: | Po Box 7198, 25 Country Club Rd Village West I Ste 405 GILFORD |
State: | NH |
Postal Code: | 03247 |
Phone Number: | 6032930395 |
Fax Number: | 6032930395 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |