LON JACKMAN

SOMERSWORTH, NH
NPI1255608170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-11-21
Last Update Date2011-11-21
Business Address
-- LON JACKMAN
200 ROUTE 108
SOMERSWORTH, NH 03878-1119
Phone number: 603-953-0077
Mailing Address
-- LON JACKMAN
200 ROUTE 108
SOMERSWORTH, NH 03878-1119
Phone number: 603-953-0077
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