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Individual

JACQUELYN MARY MAYO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
173 SOUTH RIVER ROAD, UNIT 3, BEDFORD, NH 03110
(603) 472-5279
(603) 488-1682
Mailing address
173 SOUTH RIVER ROAD, UNIT 3, BEDFORD, NH 03110
(603) 472-5279
(603) 488-1682

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
000224046
MA
1041C0700X
Clinical Social Worker
Primary
12336
MA
1041C0700X
Clinical Social Worker
2935
NH

Other

Enumeration date
09/09/2018
Last updated
05/28/2025
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