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Individual

MR. ROBERT ALAN WICKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, ACSW

Contact information

Practice address
97 LAFAYETTE RD, #9, HAMPTON FALLS, NH 03844
(603) 926-3556
(603) 926-3556
Mailing address
97 LAFAYETTE RD, #9, HAMPTON FALLS, NH 03844
(603) 926-3556
(603) 926-3556

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
567
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1408998Y0NH01
BLUE CROSS
NH
05
30007378
NH
Enumeration date
05/04/2007
Last updated
11/03/2008
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