Provider Demographics
NPI:1164932802
Name:GARLAND, LEE ANNE
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:ANNE
Last Name:GARLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 PROSPECT STREET
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03450
Mailing Address - Country:US
Mailing Address - Phone:603-547-0549
Mailing Address - Fax:
Practice Address - Street 1:20 GROVE STREET
Practice Address - Street 2:3RD FLOOR
Practice Address - City:PETERBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:03458
Practice Address - Country:US
Practice Address - Phone:603-547-0549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical