| Lynne Edgecomb-nickeson, Licsw, Pllc | |
|
15 Ermer Rd Su 208a Salem NH 03079-1271 | |
| (603) 490-8723 | |
| Not Available |
| Full Name | Lynne Edgecomb-nickeson, Licsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15 Ermer Rd, Salem, New Hampshire |
| Authorized Official Name and Position | Lynne Edgecomb-nickeson, (OWNER) |
| Authorized Official Contact | 6034908723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynne Edgecomb-nickeson, Licsw, Pllc 15 Elmer Rd Su 208a Salem NH 03079-1271 Ph: (603) 490-8723 | Lynne Edgecomb-nickeson, Licsw, Pllc 15 Ermer Rd Su 208a Salem NH 03079-1271 Ph: (603) 490-8723 |
| NPI Number | 1356594204 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 06/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356594204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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