Individual
MARISSA ROMANOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
15 OLD ROLLINSFORD RD, SUITE 302, DOVER, NH 03820-2868
(603) 742-9200
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-9200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1991
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106731
—
NH
Enumeration date
06/18/2013
Last updated
01/27/2017
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