Individual
JULIE HEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 SCHOOL ST, NEWPORT, NH 03773-1429
(603) 863-3710
Mailing address
33 KEYES HOLLOW RD, SOUTH ACWORTH, NH 03607-4703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
01/08/2025
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