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Individual

STACIE SIWIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
50 NASHUA RD STE 205, LONDONDERRY, NH 03053-3434
(603) 324-0938
Mailing address
6 BUCKINGHAM DR, LONDONDERRY, NH 03053-2327
(603) 324-0938

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
114362
MA
1041C0700X
Clinical Social Worker
Primary
2091
NH
1041C0700X
Clinical Social Worker
NH
1041S0200X
School Social Worker
433810
MA

Other

Enumeration date
04/09/2007
Last updated
02/06/2018
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