Taylor St Jacques, LICSW
NPI #1679054373 in Andover, New Hampshire
Provider Information
- NPI Number
- 1679054373
- Entity Type
- Individual
- Name
- Taylor St Jacques, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Aug 22, 2018
- Last Updated
- Jun 27, 2023
Practice Location
- Address
- 665 FLAGHOLE RD
- City
- Andover
- State
- New Hampshire
- ZIP Code
- 03216-4138
- Phone
- (603) 454-8172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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