Individual
JETTE A GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2757 WHITE MOUNTAIN HIGHWAY, NORTH CONWAY, NH 03860
(603) 733-6974
Mailing address
PO BOX 1485, NORTH CONWAY, NH 03860-1485
(603) 733-6974
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC12661
ME
1041C0700X
Clinical Social Worker
1817
NH
Other
Enumeration date
07/27/2010
Last updated
02/23/2015
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