Provider Demographics
NPI:1730450396
Name:ROUX, ALISON ENRIGHT (LICSW)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:ENRIGHT
Last Name:ROUX
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:ELIZABETH
Other - Last Name:ENRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:90 WASHINGTON ST STE 207
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3760
Mailing Address - Country:US
Mailing Address - Phone:603-930-7820
Mailing Address - Fax:
Practice Address - Street 1:90 WASHINGTON ST STE 207
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820
Practice Address - Country:US
Practice Address - Phone:603-930-7820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC145121041C0700X
NH18301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical