Lynne Edgecomb-Nickeson, Licsw, Pllc

NPI #1356594204 in Salem, New Hampshire

Provider Information

NPI Number
1356594204
Entity Type
Organization
Organization Name
Lynne Edgecomb-Nickeson, Licsw, Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Oct 23, 2008
Last Updated
Jun 8, 2009

Practice Location

Address
15 ERMER RD
Address 2
SU 208A
City
Salem
ZIP Code
03079-1271
Phone
(603) 490-8723

Authorized Official

Name
LYNNE EDGECOMB-NICKESON,, LICSW
Title
OWNER
Phone
(603) 490-8723

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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