Individual
NOAH JACOBSON-GOODHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
20 W PARK ST STE 426, LEBANON, NH 03766-1378
(802) 299-0451
Mailing address
PO BOX 249, HARTLAND, VT 05048-0249
(802) 299-0451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001204
VT
1041C0700X
Clinical Social Worker
2211
NH
Other
Enumeration date
09/06/2012
Last updated
04/25/2019
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