Organization
ELIZABETH E VICENTE LICSW MLADC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH VICENTE (SOCIAL WORKER)
(603) 731-3173
Entity
Organization
Contact information
Practice address
53 STILES RD STE B202, SALEM, NH 03079-4846
(603) 731-3173
Mailing address
53 STILES RD STE B202, SALEM, NH 03079-4846
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1531
NH
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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