Organization
LIFE EXAMINED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA KATHLEEN JACOBS LICSW (OWNER/AUTHORIZED OFFICIAL)
(603) 545-9386
Entity
Organization
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
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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