Individual
TAMMY-SUE CATHERINE D'URSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
29 NORTHWEST BLVD, FOUNDATION PSYCHIATRIC ASSOCIATES, NASHUA, NH 03063
(603) 881-9313
Mailing address
29 NORTHWEST BLVD, NASHUA, NH 03063-4068
(603) 579-5117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
925
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30422431
—
NH
Enumeration date
10/03/2006
Last updated
09/20/2007
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