Basic Information
Provider Information
NPI: 1700442357
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PASANEN-FRANKLIN
FirstName: JULIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2032
Address2:  
City: CONCORD
State: NH
PostalCode: 033022032
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 105 LOUDON RD BLDG 3
Address2:  
City: CONCORD
State: NH
PostalCode: 033015600
CountryCode: US
TelephoneNumber: 6032280547
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/18/2019
LastUpdateDate: 02/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X  Y Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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