Search › New Hampshire › 1041C0700X
Mario Brodeur-Fossa, LICSW
NPI 1891820825 · on the registry since 2007
Practice
- Address
- 3 12th St
Berlin, NH 03570 - Phone
- (603) 752-7404
- Fax
- (603) 752-5194
- Organisation at this address
- Androscoggin Valley Hospital
Androscoggin Valley Hospital, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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