Individual
MARISA LYCURGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PROSPECT ST STE 202, NASHUA, NH 03060-3922
(781) 551-0999
(781) 551-3396
Mailing address
10 PROSPECT ST, NASHUA, NH 03060-3922
(603) 886-7900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
115269
NY
104100000X
Social Worker
231105
MA
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
231105
MA
Other
Enumeration date
05/03/2021
Last updated
03/24/2026
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