Individual
SUSAN RIVCHUN LAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
118 MAPLEWOOD AVE, BUILDING A, PORTSMOUTH, NH 03801-3787
(603) 431-7131
(603) 439-4113
Mailing address
270 ROLLINGWOOD RD, ELIOT, ME 03903-1525
(207) 439-3330
(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
—
1400525Y0NH01
PROVIDER ID# ANTHEMBCBS
NH
01
—
613214400
FEDERAL WORKER'S COMPENSATION PROGRAM
MA
Enumeration date
02/11/2007
Last updated
04/24/2008
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