Individual
RACHAEL WIZWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 MEMBERS WAY FL 5, DOVER, NH 03820
(603) 609-6800
(603) 609-6820
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 953-0065
(603) 609-6800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1079
NH
1041C0700X
Clinical Social Worker
Primary
1079
NH
1041C0700X
Clinical Social Worker
LC8776
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279050099
—
ME
05
—
3073262
—
NH
Enumeration date
04/03/2006
Last updated
10/10/2019
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