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Individual

JACQUELINE ABIKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, M LADC

Contact information

Practice address
25 COUNTRY CLUB RD, SUITE 705, GILFORD, NH 03249-6972
(603) 524-8005
(603) 524-7275
Mailing address
25 COUNTRY CLUB RD, SUITE 705, GILFORD, NH 03249-6972
(603) 524-8005
(603) 524-7275

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
109
NH
1041C0700X
Clinical Social Worker
176
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30007637
NH
Enumeration date
01/08/2007
Last updated
11/06/2012
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