Roxanna Usticke, LICSW
Specialist in Manchester, NH. Individual provider (NPI-1).
NPI number1407136286
StatusActive
Last updated in NPPESMar 27, 2018
Details
- NPI
- 1407136286
- Entity type
- Individual (NPI-1)
- Name
- Roxanna Usticke
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2011
- Last updated
- Mar 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | 1910 | NH |
Other names
- Roxanna Usticke (Professional Name)
Practice location
401 Cypress StManchester, NH 03103-3628
Phone 603-668-4111 · Fax 603-628-7757
Mailing address
2 Wall St Ste 300Manchester, NH 03101-1518
Phone 603-668-4111 · Fax 603-628-7757
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