Individual
MS. VICKI TOUSTER JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
12 PARMENTER RD, LONDONDERRY, NH 03053-3280
(603) 437-2069
(603) 434-5588
Mailing address
12 PARMENTER RD, LONDONDERRY, NH 03053-3280
(603) 437-2069
(603) 434-5588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30007468
—
NH
Enumeration date
11/08/2006
Last updated
07/08/2007
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