Organization
THOMAS J. CORMICAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J. CORMICAN LICSW (OWNER/CLINICIAN)
(603) 923-8836
Entity
Organization
Contact information
Practice address
20 LEDGEVIEW DR, ROCHESTER, NH 03839-5619
(603) 923-8836
Mailing address
20 LEDGEVIEW DR, ROCHESTER, NH 03839-5619
(603) 923-8836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1745
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090878
—
NH
Enumeration date
12/22/2015
Last updated
12/22/2015
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