Individual
NANCY BETH ROTKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
18 WINDMERE DR, RAYMOND, NH 03077-2702
(207) 907-6897
Mailing address
18 WINDMERE DR, RAYMOND, NH 03077-2702
(207) 907-6897
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC16198
ME
1041C0700X
Clinical Social Worker
2219
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC16198
SOCIAL WORKER LICENSURE, STATE OF MAINE
ME
Enumeration date
08/15/2016
Last updated
03/12/2020
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