Organization
THE COUPLES CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN RIVCHUN LAGER LICSW (PRESIDENT)
(603) 431-7131
Entity
Organization
Contact information
Practice address
118 MAPLEWOOD AVE., BUILDING A, PORTSMOUTH, NH 03801-4304
(603) 431-7131
(207) 439-4113
Mailing address
118 MAPLEWOOD AVE, BUILDING A, PORTSMOUTH, NH 03801-3787
(603) 431-7131
(207) 439-4113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
202
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400525YONHO1
ANTHEM BCBS
NH
01
—
613214400
US DEPT OF LABOR -- FECA
MA
Enumeration date
12/04/2007
Last updated
04/24/2008
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