Organization
LYNNE EDGECOMB-NICKESON, LICSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE EDGECOMB-NICKESON, LICSW (OWNER)
(603) 490-8723
Entity
Organization
Contact information
Practice address
15 ERMER RD, SU 208A, SALEM, NH 03079-1271
(603) 490-8723
Mailing address
15 ELMER RD, SU 208A, SALEM, NH 03079-1271
(603) 490-8723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/23/2008
Last updated
06/08/2009
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