Provider Demographics
NPI:1063053742
Name:MAUREEN CASON HANLON
Entity type:Organization
Organization Name:MAUREEN CASON HANLON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:CASON
Authorized Official - Last Name:HANLON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-986-5099
Mailing Address - Street 1:PO BOX 1188
Mailing Address - Street 2:
Mailing Address - City:NORTH CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03860-1188
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13 NH ROUTE 16A
Practice Address - Street 2:
Practice Address - City:INTERVALE
Practice Address - State:NH
Practice Address - Zip Code:03845-6300
Practice Address - Country:US
Practice Address - Phone:603-730-5722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty