Individual
TAYLOR ST JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
665 FLAGHOLE RD, ANDOVER, NH 03216-4138
(603) 454-8172
Mailing address
100 HALL ST, CONCORD, NH 03301-3408
(603) 229-4260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3002
NH
Other
Enumeration date
08/22/2018
Last updated
06/27/2023
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