Bronwen Ballou, LICSW

NPI 1558485490 · on the registry since 2007 · sole proprietor

Practice

Address: 367 State Route 120
Suite B1
Lebanon, NH 03766
Phone: (603) 653-0199
Organisation at this address: Montshire Endodontics Pllc
Angela J Santavicca Dds Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Hampshire