Organization
JOHN M IUDICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M IUDICE LICSW, MLADC (OWNER)
(603) 591-3707
Entity
Organization
Contact information
Practice address
14 MANCHESTER SQ, 290, PORTSMOUTH, NH 03801-8001
(603) 591-3707
(603) 583-5391
Mailing address
14 MANCHESTER SQ, 290, PORTSMOUTH, NH 03801-8001
(603) 591-3707
(603) 583-5391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1637
NH
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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