Elizabeth E Vicente Licsw Mladc Pllc

NPI #1205259595 in Salem, New Hampshire

Provider Information

NPI Number
1205259595
Entity Type
Organization
Organization Name
Elizabeth E Vicente Licsw Mladc Pllc
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 23, 2014
Last Updated
Jan 23, 2014

Practice Location

Address
53 STILES RD STE B202
City
Salem
ZIP Code
03079-4846
Phone
(603) 731-3173

Authorized Official

Name
ELIZABETH VICENTE
Title
SOCIAL WORKER
Phone
(603) 731-3173

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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