Individual
RICHARD PAUL FORLEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
579 DANIEL WEBSTER HWY, MERRIMACK, NH 03054-3407
(603) 429-1190
Mailing address
5 DAVIDSON AVE, MERRIMACK, NH 03054-3841
(603) 424-8583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
105697
MA
1041C0700X
Clinical Social Worker
Primary
754
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30420303
—
MH
Enumeration date
12/23/2006
Last updated
07/08/2007
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