Individual
ANDREA LYNN JERGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
70 COMMERCIAL ST STE 200, CONCORD, NH 03301-5094
(603) 883-0005
(603) 883-0007
Mailing address
2 WALL ST STE 200, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2886
NH
Other
Enumeration date
01/12/2023
Last updated
02/04/2026
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