Individual
THOMAS J CORMICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
20 LEDGEVIEW DR, ROCHESTER, NH 03839-5619
(603) 923-8836
Mailing address
20 LEDGEVIEW DR, GONIC, NH 03839-5619
(603) 817-5075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2274
MA
1041C0700X
Clinical Social Worker
115174
MA
1041C0700X
Clinical Social Worker
Primary
1745
NH
Other
Enumeration date
04/10/2006
Last updated
12/08/2020
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