Provider Demographics
NPI:1558968545
Name:VARNEY MORRILL, DAWN
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:VARNEY MORRILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:K
Other - Last Name:VARNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:5 MAIDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-3014
Mailing Address - Country:US
Mailing Address - Phone:603-305-5096
Mailing Address - Fax:
Practice Address - Street 1:40 PINE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-6207
Practice Address - Country:US
Practice Address - Phone:603-668-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-03
Last Update Date:2020-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical