| Elizabeth E Vicente Licsw Mladc Pllc | |
|
53 Stiles Rd Ste B202 Salem NH 03079-4846 | |
| (603) 731-3173 | |
| Not Available |
| Full Name | Elizabeth E Vicente Licsw Mladc Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 53 Stiles Rd Ste B202, Salem, New Hampshire |
| Authorized Official Name and Position | Elizabeth Vicente (SOCIAL WORKER) |
| Authorized Official Contact | 6037313173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth E Vicente Licsw Mladc Pllc 53 Stiles Rd Ste B202 Salem NH 03079-4846 Ph: () - | Elizabeth E Vicente Licsw Mladc Pllc 53 Stiles Rd Ste B202 Salem NH 03079-4846 Ph: (603) 731-3173 |
| NPI Number | 1205259595 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205259595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1531 (New Hampshire) | Primary |
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