Individual
ALICIA KATHLEEN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
90 ODELL HILL RD, CONWAY, NH 03818-4401
(603) 545-9386
Mailing address
PO BOX 521, MADISON, NH 03849-0521
(603) 545-9386
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
LC20858
ME
Other
Enumeration date
08/08/2018
Last updated
06/29/2022
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