Organization
BRENDA UCICH LICSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA UCICH LICSW (THERAPIST)
(603) 858-2876
Entity
Organization
Contact information
Practice address
130 MAIN ST, SUITE 203B, SALEM, NH 03079-3176
(603) 858-2876
Mailing address
130 MAIN ST, SUITE 203B, SALEM, NH 03079-3176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1610
NH
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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