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Individual

MRS. TIA MADAFFARI HACKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
1039 ISLINGTON STREET, SUITE 13, PORTSMOUTH, NH 03801
(603) 766-5066
(603) 766-5556
Mailing address
1039 ISLINGTON STREET, SUITE 13, PORTSMOUTH, NH 03801
(603) 766-5066
(603) 766-5556

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
89
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7706655Y0NH01
BHN
NH
05
99003227
NH
Enumeration date
11/22/2006
Last updated
05/23/2019
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